Individual
ARIEL DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3188 AIRWAY AVE STE F, COSTA MESA, CA 92626-4652
(714) 600-4075
Mailing address
1360 S ANAHEIM BLVD STE 101, ANAHEIM, CA 92805-6205
(714) 689-1380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
03/30/2020
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