TYE DOMINGUEZ

CHESTERTON, IN
NPI1518643659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001723A)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: IN  88001750A)
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
TYE DOMINGUEZ LCAC, LMHCA, NCC
350 INDIAN BOUNDARY RD
CHESTERTON, IN 46304-1511
Phone number: 219-929-5367
Mailing Address
TYE DOMINGUEZ LCAC, LMHCA, NCC
3527 43RD PL
HIGHLAND, IN 46322-3130
Phone number: 219-895-1236