Patricia Gwen Dominguez, RADT is a
Counselor - Addiction (substance Use Disorder) based in Sacramento, California. Patricia Gwen Dominguez is licensed to practice in California (license number R1423320321) and her current practice location is
310 Harris Ave Ste A, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 649-6793.
NPI number for Patricia Gwen Dominguez is 1043886054 and her current mailing address is 310 Harris Ave Ste A310, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043886054.
Healthcare Provider's Profile
Full Name | Patricia Gwen Dominguez |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 310 Harris Ave Ste A, Sacramento, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043886054
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 06/03/2021
Medical Identifiers
Medical identifiers for Patricia Gwen Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043886054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | R1423320321 (California) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1423320321 (California) | 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. Patricia Gwen 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 |
Patricia Gwen Dominguez, RADT 310 Harris Ave Ste A310, Sacramento, CA 95838-3249 Ph: (916) 649-6793 | Patricia Gwen Dominguez, RADT 310 Harris Ave Ste A, Sacramento, CA 95838-3249 Ph: (916) 649-6793 |
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