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Individual
SERENA OSULLIVAN DINGLER DOMINGUEZ
Active
Individual
SERENA OSULLIVAN DINGLER DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
127289
CA
106H00000X
Marriage & Family Therapist
Primary
162484
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/19/2020
Last updated
03/26/2026
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