Individual provider · Type 1 NPI

Jessica Domingo

Mental Health Counselor · Pleasanton, CA

NPI number 1669607677 Active

Practice location

5674 Stoneridge Dr, Suite 108
Pleasanton, CA 94588-8500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669607677

Jessica Domingo's National Provider Identifier is 1669607677, issued on May 19, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pleasanton, CA. The record was last updated on May 19, 2009.