Individual
AMBER MARIE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Mailing address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT139201
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/15/2020
Last updated
11/21/2023
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