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Mark Anthony Dominguez
Professional Counselor in Norman, Oklahoma
NPI 1528425212

Mark Anthony Dominguez is a Professional Counselor based in Norman, OK and is specialized in Professional. Mark Anthony Dominguez practices in Norman, OK. The NPI Number for Mark Anthony Dominguez is 1528425212 and holds a License No. 5493 (Oklahoma).

The current practice location address for Mark Anthony Dominguez is 3825 24Th Ave Se, Norman, OK and can be reached out via phone at 580-320-6021.

Location: 3825 24Th Ave Se, Norman, OK, 73071-1770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528425212
Provider Name
Mark Anthony Dominguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3825 24Th Ave Se, Norman, OK, 73071-1770
Phone Number
580-320-6021
Fax Number
Provider Enumeration Date
01/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3825 24Th Ave Se
City
Norman
State
Oklahoma
Zip
73071-1770
Phone Number
580-320-6021
Fax Number
person
Provider Business Mailing Address Details
Address
3825 24Th Ave Se
City
Norman
State
Oklahoma
Zip
73071-1770
Phone Number
580-320-6021
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5493 (Oklahoma)
Definition
Definition to come...
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