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Individual
CARLOS ANTONIO DOMINGUEZ
Active
Individual
CARLOS ANTONIO DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0136523
VT
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
09/22/2025
Last updated
07/24/2026
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