Individual provider · Type 1 NPI

Irene Marie Dominguez

Mental Health Counselor · Camarillo, CA

NPI number 1104291772 Active

Practice location

5284 Adolfo Rd
Camarillo, CA 93012-6787

Fax (805) 289-0130

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104291772

Irene Marie Dominguez's National Provider Identifier is 1104291772, issued on Dec 8, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Dec 15, 2015.