Lookup NPI Numbers from the NPI Registry
NPI Profile for ANGELA T DOMACK in ABERDEEN, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X | |||
Professional |
101YP2500X |
| NPI Number | 1720494164 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 07/07/2014 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANGELA T DOMACK
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ANGELA T DOMACK, LCPC