Individual provider · Type 1 NPI

Patricia Gwen Dominguez, SUDCC II

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1043886054 Active

Practice location

1133 Coloma Way Ste C
Roseville, CA 95661-4480

Call (916) 774-6647 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20582 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043886054

Patricia Gwen Dominguez, SUDCC II's National Provider Identifier is 1043886054, issued on Jun 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Dec 1, 2025.