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Individual
LIZBETH DOMINGUEZ
Active
Individual
LIZBETH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
23535
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7420
—
CA
05
—
7O68
—
CA
Enumeration date
01/08/2019
Last updated
09/14/2026
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