Individual provider · Type 1 NPI

Savanah Nicole Dominguez, RADT

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1427922111 Active

Practice location

1235 Mchenry Ave Ste A&b
Modesto, CA 95350-5370

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1615500525 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1427922111

Savanah Nicole Dominguez, RADT's National Provider Identifier is 1427922111, issued on Oct 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Jun 11, 2026.