Individual
ALEJANDRINA DOMINGUEZ TATAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S VERMONT AVE FL 9, LOS ANGELES, CA 90020-1912
(213) 738-4775
Mailing address
13139 CLEARWOOD AVE, LA MIRADA, CA 90638-1815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
01/21/2016
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