Individual provider · Type 1 NPI

Dominique Rae Cautivo, AMFT

Mental Health Counselor · Campbell, CA

NPI number 1912562497 Active

Practice location

1925 S Winchester Blvd Ste 106
Campbell, CA 95008-1000

Call (408) 940-6449 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149470 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1912562497

Dominique Rae Cautivo, AMFT's National Provider Identifier is 1912562497, issued on May 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Campbell, CA. The record was last updated on May 26, 2026.