Jennifer Dominguez Valid NPI
Individual provider · Clinical Social Worker · Represa, CA
- NPI
- 1972931335
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 21676 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-10-23
- Last updated
- 2022-09-07
Practice location
100 Prison Rd
Represa, CA 95671-0066
(916) 985-8610