Dom, Mary Ann

Dom, Mary Ann is an sole proprietor health care provider with primary practice located at 6502 Bandera Rd Ste 202 , Leon Valley TX 78238-1454. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dom, Mary Ann can be contacted via phone (210) 488-0384.

Contact Information

Primary practice address
6502 Bandera Rd Ste 202 Leon Valley TX 78238-1454
Phone: (210) 488-0384
Fax: (210) 941-0682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 12359 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12359 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12359 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 12359 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 12359 Texas

Profile Details

NPI number 1356507586
LBN Legal business name Dom, Mary Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2008
Last updated Jul 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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