Individual
MS. DOMINIQUE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 COLLEGE AVE, BAKERSFIELD, CA 93305-4113
(661) 868-6100
Mailing address
1401 L ST, BAKERSFIELD, CA 93301-4522
(661) 868-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
03/20/2025
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