Individual provider · Type 1 NPI

Jennifer Dominguez

Peer Specialist · Long Beach, CA

NPI number 1417229899 Active

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Call (562) 218-1868 Map

Fax (562) 591-0346

Mailing address

8407 S Vermont Ave
Los Angeles, CA 90044-3423

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-KYBVEP (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1417229899

Jennifer Dominguez's National Provider Identifier is 1417229899, issued on Feb 1, 2012. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Long Beach, CA. The record was last updated on Apr 8, 2025.