Mr. Julio Mata Dominguez, LCDC
Mr. Julio Mata Dominguez, LCDC is an Addiction (Substance Use Disorder) Counselor in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6800 Park Ten Blvd Ste 200SSan Antonio, TX 78213-4293
Phone: (210) 261-1042
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1538724224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDC |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2019 |
| Last updated in NPPES | April 12, 2022 |
| Certification date | April 12, 2022 |
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