Individual provider · Type 1 NPI

Stefie C. Dominguez, AMFT

Mental Health Counselor · Los Angeles, CA

NPI number 1629694013 Active

Practice location

1852 W Imperial Hwy
Los Angeles, CA 90047-5020

Call (213) 220-4607 Map

Mailing address

1290 Cypress St
East Palo Alto, CA 94303-1743

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT127933 (CA)

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About NPI 1629694013

Stefie C. Dominguez, AMFT's National Provider Identifier is 1629694013, issued on Jun 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 5, 2021.