JACK L. DOMAN

THOUSAND OAKS, CA
NPI1508067299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC38923)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
Mr. JACK L. DOMAN LMFT
550 SAINT CHARLES DR SUITE 101A
THOUSAND OAKS, CA 91360-3951
Phone number: 805-480-1167
Mailing Address
Mr. JACK L. DOMAN LMFT
362 RIDGEMONT CT
NEWBURY PARK, CA 91320-4837
Phone number: 805-480-1167