Individual provider · Type 1 NPI

Chiyeko Dominguez

Mental Health Counselor · San Luis Obispo, CA

NPI number 1124698246 Active

Practice location

784 High St
San Luis Obispo, CA 93401-5243

Call (805) 503-0350 Map

Mailing address

PO Box 15408
San Luis Obispo, CA 93406-5408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124698246

Chiyeko Dominguez's National Provider Identifier is 1124698246, issued on Jun 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 30, 2021.