Individual provider · Type 1 NPI

Daniel Fontanez Dominguez Jr., MSW, LCSW

Mental Health Counselor · San Jose, CA

NPI number 1356535843 Active

Practice location

1075 E Santa Clara St
San Jose, CA 95116-2244

Call (408) 299-6785 Map

Fax (408) 298-0192

Mailing address

884 Mulcaster Ct
San Jose, CA 95136-1758

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCS18257 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1356535843

Daniel Fontanez Dominguez Jr., MSW, LCSW's National Provider Identifier is 1356535843, issued on Aug 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Sep 21, 2007.