PATRICIA GWEN DOMINGUEZ RADT NPI 1043886054

NPI Information

NPI: 1043886054
Provider Name: PATRICIA GWEN DOMINGUEZ, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
310 HARRIS AVE STE A
SACRAMENTO, CA
ZIP 95838
Phone: (916) 649-6793
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Patricia Gwen Dominguez, RADT is an addiction (substance use disorder) counselor in Sacramento, CA. Patricia Gwen Dominguez, RADT NPI is 1043886054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

310 HARRIS AVE STE A
SACRAMENTO, CA
ZIP 95838-249
Phone: (916) 649-6793
Fax: (916) 929-7411

The enumeration date for this NPI number is 6/1/2021 and was last updated on 6/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1423320321	CALIFORNIA	Yes
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	R1423320321	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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