Chiyeko Dominguez
Counselor, Mental Health in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1124698246
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1124698246
- Entity type
- Individual (NPI-1)
- Name
- Chiyeko Dominguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2021
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
784 High StSan Luis Obispo, CA 93401-5243
Phone 805-503-0350
Mailing address
Po Box 15408San Luis Obispo, CA 93406-5408
Phone 805-540-6500
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All 480 Mental Health Counselor providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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