Individual provider · Type 1 NPI

Jaime Dominguez

Mental Health Counselor · Santa Maria, CA

NPI number 1750853974 Active

Practice location

212 Carmen Ln Ste 2012nd
Santa Maria, CA 93458-7769

Call (805) 212-7680 Map

Fax (805) 922-7149

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750853974

Jaime Dominguez's National Provider Identifier is 1750853974, issued on Dec 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Maria, CA. The record was last updated on Dec 28, 2018.