Individual
ALEXANDER DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4750
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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