Jacquelin Dominguez

NPI #1063067080 in El Centro, California

Provider Information

NPI Number: 1063067080
Entity Type: Individual
Name: Jacquelin Dominguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 495 E ORANGE AVE
City: El Centro
State: California
ZIP Code: 92243-2744
Phone: (760) 353-6151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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