Wayne Domalaon
Wayne Domalaon is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
9000 W Wilderness Way Apt 32Shreveport, LA 71106-6832
Phone: (318) 675-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1275905325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2015 |
| Last updated in NPPES | October 28, 2015 |
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