Dominguez, Jennie Marie

Dominguez, Jennie Marie is an individual health care provider with primary practice located at 2400 S 48Th St , Springdale AR 72762-6683. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dominguez, Jennie Marie can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S 48Th St Springdale AR 72762-6683
Phone: (479) 750-2020
Fax: (479) 750-8967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1639345515
LBN Legal business name Dominguez, Jennie Marie
Credentials MHPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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