NPI | 1952914004 |
---|---|
Doing Business As | DOMINIQUE CECIL LPC |
Entity Type | Organization |
Authorized Contact | TAMMY MARIE WELLS Account Manager 307-620-7401 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |