Individual provider · Type 1 NPI
Candice Leann Dominguez
Counselor · Keota, OK
NPI number
1023362142
Active
Practice location
40936 E County Road 1230
Keota, OK 74941-6439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1-14-12 (OK) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Keota
About NPI 1023362142
Candice Leann Dominguez's National Provider Identifier is 1023362142, issued on Oct 29, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Keota, OK. The record was last updated on Oct 29, 2012.