Individual
MS. CAITLYN ELIZABETH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
7415 HENRIETTA DR, SACRAMENTO, CA 95822-5142
(916) 896-7480
Mailing address
3440 VIKING DR, SACRAMENTO, CA 95827-2844
(916) 364-8395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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