Individual provider · Type 1 NPI

Fabiola B. Dominguez

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1598800336 Active

Practice location

3525 Presley Ave
Riverside, CA 92507-4453

Call (951) 782-2400 Map

Fax (951) 715-5060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1598800336

Fabiola B. Dominguez's National Provider Identifier is 1598800336, issued on Feb 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on May 10, 2024.