Individual provider · Type 1 NPI

Amber Nicole Dominguez

Substance Use Disorder Rehabilitation Clinic/Center · San Luis Obispo, CA

NPI number 1831800465 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401

Call (805) 781-4746 Map

Mailing address

759 Angus St
Paso Robles, CA 93446-4629

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1831800465

Amber Nicole Dominguez's National Provider Identifier is 1831800465, issued on Dec 5, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in San Luis Obispo, CA. The record was last updated on Dec 5, 2022.