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Steve J Dominguez

Counselor, Mental Health in Davis, CA. Individual provider (NPI-1).

NPI number1417153453
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1417153453
Entity type
Individual (NPI-1)
Name
Mr. Steve J Dominguez
Sex
Male
Sole proprietor
No
Enumeration date
Jun 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

212 I St
Davis, CA 95616-4213

Phone 530-758-5304 · Fax 530-758-2454

Mailing address

212 I St
Davis, CA 95616-4213

Phone 530-758-5304 · Fax 530-758-2454

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