person
Mrs. Debra Marie Dominczak, LPCIT
Mental Health Counselor in Menasha, Wisconsin
NPI 1821337601

Debra Marie Dominczak is a Mental Health Counselor based in Hilbert, WI and is specialized in Mental Health. Debra Marie Dominczak practices in Menasha, WI and has the professional credentials of LPCIT. The NPI Number for Debra Marie Dominczak is 1821337601 and holds a License No. 1440-226 (Wisconsin).

The current practice location address for Debra Marie Dominczak is 1478 Kenwood Dr Ste 1, Menasha, WI and can be reached out via phone at 920-886-9319 and via fax at 920-886-9357.

Location: 1478 Kenwood Dr Ste 1, Menasha, WI, 54129-9262
person
Provider Profile Details
NPI Number
1821337601
Provider Name
Debra Marie Dominczak
Credential
LPCIT
Provider Entity Type
Individual
Gender
Female
Address
1478 Kenwood Dr Ste 1, Menasha, WI, 54129-9262
Phone Number
920-886-9319
Fax Number
920-886-9357
Provider Enumeration Date
02/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1478 Kenwood Dr Ste 1
City
State
Zip
54952-1161
Phone Number
920-886-9319
Fax Number
920-886-9357
person
Provider Business Mailing Address Details
Address
1478 Kenwood Dr Ste 1
City
State
Zip
54952-1161
Phone Number
920-886-9319
Fax Number
920-886-9357
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1440-226 (Wisconsin)
Definition
Definition to come...
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