Individual
DEBBIE ANN DOMINQUEZ-WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSC.
Contact information
Practice address
1296 LOHRMAN LN, PETALUMA, CA 94952-1650
(707) 290-1899
(707) 776-4794
Mailing address
1296 LOHRMAN LN, PETALUMA, CA 94952-1650
(707) 290-1899
(707) 776-4794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-YDOLQH
CA
Other
Enumeration date
06/01/2015
Last updated
07/13/2023
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