| 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 |