Individual provider · Type 1 NPI

Manuel Cruz Dominguez Jr.

Mental Health Counselor · Stockton, CA

NPI number 1376094581 Active

Practice location

4545 Georgetown Pl, Suite A3
Stockton, CA 95207-6215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376094581

Manuel Cruz Dominguez Jr.'s National Provider Identifier is 1376094581, issued on Oct 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Oct 24, 2016.