JENNY A DOMINGUEZ
NPI 1083499065
Counselor - Mental Health in Manchester, CT
Active since August 29, 2023
About Jenny A Dominguez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY A DOMINGUEZ (NPI 1083499065) is an individual mental health provider in Manchester, Connecticut and active in the NPI registry since August 2023.
NPPES Registry Identity
NPI1083499065
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNY A DOMINGUEZ
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 697-3351 · Fax (860) 731-5536
Phone(860) 731-5522
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1083499065 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
444 CENTER ST, Manchester, CT 06040
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
MANCHESTER, CT 06040
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
MANCHESTER, CT 06040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083499065, enumerated as an "individual" on August 29, 2023.
The provider is located at 444 CENTER ST MANCHESTER, CT 06040 and the phone number is (860) 731-5522.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.