| Carlos Antonio Dominguez, | |
|
760 Kent Hill Rd, East Calais, VT 05650-8048 | |
| (802) 793-9850 | |
| Not Available |
| Full Name | Carlos Antonio Dominguez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 760 Kent Hill Rd, East Calais, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316819121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 097.0136523 (Vermont) | Primary |
| 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 |
Jordan A. Houston, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1903 Dugar Brook Rd, East Calais, VT 05650 Phone: 802-498-4883 | |
Taylar Morgan Main, Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Kent Hill Rd, East Calais, VT 05650 Phone: 802-276-0569 |