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Individual

CARLOS ANTONIO DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
760 KENT HILL RD, EAST CALAIS, VT 05650-8048
(802) 793-9850
Mailing address
760 KENT HILL RD, EAST CALAIS, VT 05650-8048
(802) 793-9850

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0136523
VT

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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