Candice Leann Dominguez - Keota, OK

Candice Leann Dominguez

Counselor in Keota, Oklahoma

NPI 1023362142

Candice Leann Dominguez is a Counselor based in Keota, OK. Candice Leann Dominguez practices in Keota, OK. The NPI Number for Candice Leann Dominguez is 1023362142 and holds a License No. 1-14-12 (Oklahoma).

The current practice location address for Candice Leann Dominguez is 40936 E County Road 1230, Keota, OK and can be reached out via phone at 918-471-8936.

Location: 40936 E County Road 1230, Keota, OK, 74941-6439

NPI Number

1023362142

Provider Name

Candice Leann Dominguez

Credential

Provider Entity Type

Individual

Gender

Female

Address

40936 E County Road 1230, Keota, OK, 74941-6439

Phone Number

918-471-8936

Fax Number

Provider Enumeration Date

10/29/2012

Last Update Date

03/09/2024

Address

40936 E County Road 1230

City

Keota

State

Oklahoma

Zip

74941-6439

Phone Number

918-471-8936

Fax Number

Address

40936 E County Road 1230

City

Keota

State

Oklahoma

Zip

74941-6439

Phone Number

918-471-8936

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

1-14-12 (Oklahoma)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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