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Drena Dominguez
Addiction (Substance Use Disorder) Counselor in Pasadena, California
NPI 1417670985

Drena Dominguez is an Addiction (Substance Use Disorder) Counselor based in Pasadena, CA and is specialized in Addiction (Substance Use Disorder). Drena Dominguez practices in Pasadena, CA. The NPI Number for Drena Dominguez is 1417670985 and holds a License No. 15893-RAC (California).

The current practice location address for Drena Dominguez is 1245 E Walnut St Ste 117, Pasadena, CA and can be reached out via phone at 626-773-4364.

Location: 1245 E Walnut St Ste 117, Pasadena, CA, 91106-5129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417670985
Provider Name
Drena Dominguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1245 E Walnut St Ste 117, Pasadena, CA, 91106-5129
Phone Number
626-773-4364
Fax Number
Provider Enumeration Date
09/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15893RAC 01 CA SUD COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1245 E Walnut St Ste 117
City
Pasadena
State
California
Zip
91106-5129
Phone Number
626-773-4364
Fax Number
person
Provider Business Mailing Address Details
Address
1245 E Walnut St Ste 117
City
Pasadena
State
California
Zip
91106-5129
Phone Number
626-773-4364
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15893-RAC (California)
Definition
Definition to come...
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