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KATHLEEN HOLCOM DOMINGUEZ QMHA NPI 1902262637


NPI Profile

NPI: 1902262637
Provider Name: KATHLEEN HOLCOM DOMINGUEZ, QMHA
Classification:Counselor - 101Y00000X
Entity Type: Individual
Address:
340 NW 5TH ST
BOX 1710
REDMOND, OR
ZIP 97756
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Phone: (541) 475-6575

Kathleen Holcom Dominguez, QMHA is a counselor in Redmond, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kathleen Holcom Dominguez, QMHA NPI is 1902262637. 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:

340 NW 5TH ST
BOX 1710
REDMOND, OR
ZIP 97756-869
Phone: (541) 475-6575
Fax: (541) 504-1195

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

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: 10/10/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.