| Mr Jorge Dominguez Jr, | |
|
2004 Westwood Dr, Portland, TX 78374-3007 | |
| (956) 740-2661 | |
| Not Available |
| Full Name | Mr Jorge Dominguez Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2004 Westwood Dr, Portland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306399290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12693 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 72077 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jorge Dominguez Jr, 2004 Westwood Dr, Portland, TX 78374-3007 Ph: () - | Mr Jorge Dominguez Jr, 2004 Westwood Dr, Portland, TX 78374-3007 Ph: (956) 740-2661 |
Mrs. Molly Ann Savant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Wildcat Dr, Suite D, Portland, TX 78374 Phone: 361-445-4080 Fax: 888-413-3010 | |
Laura Ann Blomgren, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1404 Moore Ave, Apt 1105, Portland, TX 78374 Phone: 361-548-6131 | |
Mr. Carlos Garcia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Crosby St, Portland, TX 78374 Phone: 361-222-3687 | |
Linda Ramos Perez, Counselor Medicare: Medicare Enrolled Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Iris Beltran, Counselor Medicare: Medicare Enrolled Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Mr. Jesse Stakes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 Lang Rd, Portland, TX 78374 Phone: 361-643-4130 Fax: 361-643-4891 |