Individual
MS. ANGELICA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Mailing address
1064 GRANT ST, CALEXICO, CA 92231-3602
(626) 807-0142
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147599
CA
Other
Enumeration date
04/19/2021
Last updated
03/25/2025
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