Kathleen Holcom Dominguez, QMHA

NPI #1902262637 in Redmond, Oregon

Provider Information

NPI Number: 1902262637
Entity Type: Individual
Name: Kathleen Holcom Dominguez, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: QMHA
Enumeration Date: Jan 11, 2016
Last Updated: Jan 11, 2016

Practice Location

Address: 340 NW 5TH ST
Address 2: BOX 1710
City: Redmond
State: Oregon
ZIP Code: 97756-1869
Phone: (541) 475-6575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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