Carlos Antonio Dominguez, is a
Counselor - Mental Health based in East Calais, Vermont. Carlos Antonio Dominguez is licensed to practice in Vermont (license number 097.0136523) and his current practice location is
760 Kent Hill Rd, East Calais, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 793-9850.
NPI number for Carlos Antonio Dominguez is 1316819121 and his current mailing address is 760 Kent Hill Rd, East Calais, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316819121.
Healthcare Provider's Profile
| Full Name | Carlos Antonio Dominguez |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 760 Kent Hill Rd, East Calais, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316819121
- Provider Enumeration Date: 09/22/2025
- Last Update Date: 09/22/2025
Medical Identifiers
Medical identifiers for Carlos Antonio Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316819121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 097.0136523 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos Antonio Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Carlos Antonio Dominguez, 760 Kent Hill Rd, East Calais, VT 05650-8048 Ph: (802) 793-9850 | Carlos Antonio Dominguez, 760 Kent Hill Rd, East Calais, VT 05650-8048 Ph: (802) 793-9850 |
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