Individual provider · Type 1 NPI
Caussaundra Maria Dominguez
Addiction (Substance Use Disorder) Counselor · Fresno, CA
NPI number
1295378446
Active
Practice location
2772 S Martin Luther King
Fresno, CA 93706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1362830919 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15271 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1295378446
Caussaundra Maria Dominguez's National Provider Identifier is 1295378446, issued on Oct 21, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on May 16, 2024.