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Dominique Dominguez
Mental Health Counselor in Lake Elsinore, California
NPI 1861858938

Dominique Dominguez is a Mental Health Counselor based in Lake Elsinore, CA and is specialized in Mental Health. Dominique Dominguez practices in Lake Elsinore, CA. The NPI Number for Dominique Dominguez is 1861858938 and holds a License No. (California).

The current practice location address for Dominique Dominguez is 600 Central Ave Ste E1, Lake Elsinore, CA and can be reached out via phone at 951-471-1426.

Location: 600 Central Ave Ste E1, Lake Elsinore, CA, 92530-2740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861858938
Provider Name
Dominique Dominguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Central Ave Ste E1, Lake Elsinore, CA, 92530-2740
Phone Number
951-471-1426
Fax Number
Provider Enumeration Date
01/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 Central Ave Ste E1
City
Lake Elsinore
State
California
Zip
92530-2740
Phone Number
951-471-1426
Fax Number
person
Provider Business Mailing Address Details
Address
600 Central Ave Ste E1
City
Lake Elsinore
State
California
Zip
92530-2740
Phone Number
951-471-1426
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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