Mary Ann Dom is a Counselor in San Antonio, Texas. Mary Ann Dom practices all healthcare services and medical treatments related to Counselor. The NPI Number for Mary Ann Dom is 1356507586. The last update date is 2019-07-25.
Mary Ann Dom's current location address is 8826 Thatch Dr, San Antonio, Texas. You can contact this provider via phone number 2104880384 and fax number 2108586657. The mailing address for Mary Ann Dom is 8826 Thatch Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Ann Dom |
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Address | 8826 Thatch Dr, San Antonio, Texas |
Phone Number | 2104880384 |
Fax Number | 2108586657 |
Sole Proprietor | Y |
Credentials | LPC |
NPI Number Detail
NPI Number | 1356507586 |
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Provider Enumeration Date | 2008-08-07 |
Last Updated Date | 2019-07-25 |
Provider Mailing Address Detail
Address | 8826 Thatch Dr |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782403714 |
Phone Number | 2104880384 |
Fax Number | 2108586657 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Licence No | 12359 |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Mary Ann Dom by the Centers for Medicare & Medicaid Services?
The Mary Ann Dom has been assigned the NPI (National Provider Identifier) 1356507586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mary Ann Dom's physical address?
The Mary Ann Dom is physically located at 8826 Thatch Dr, in the city of San Antonio, TX, with the postal code 782403714.
What is Mary Ann Dom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Ann Dom is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date was the 1356507586 assigned to Mary Ann Dom?
The Mary Ann Dom was issued its 1356507586 on 2008-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Ann Dom most recently updated or revised?
The details related to Mary Ann Dom, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-25.