Jessica Dominguez in Oakland - Marriage & Family Therapist
Jessica Dominguez - NPI 1093841140
Jessica Dominguez is a Marriage & Family Therapist in Oakland, California. Jessica Dominguez practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jessica Dominguez is 1093841140. The last update date is 2022-02-11.
Jessica Dominguez's current location address is 1501 Fruitvale Ave, Oakland, California. You can contact this provider via phone number 5105356200 and fax number 5105354167. The mailing address for Jessica Dominguez is 1501 Fruitvale Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Dominguez |
|---|---|
| Address | 1501 Fruitvale Ave, Oakland, California |
| Phone Number | 5105356200 |
| Fax Number | 5105354167 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1093841140 |
|---|---|
| Provider Enumeration Date | 2007-02-25 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 1501 Fruitvale Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946012322 |
| Phone Number | 5105356200 |
| Fax Number | 5105354167 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | IMF 51509 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Jessica Dominguez by the Centers for Medicare & Medicaid Services?
The Jessica Dominguez has been assigned the NPI (National Provider Identifier) 1093841140. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jessica Dominguez?
The Jessica Dominguez is physically situated at 1501 Fruitvale Ave, in the city of Oakland, state of CA, with the postal code 946012322.
What is Jessica Dominguez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jessica Dominguez is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093841140 to Jessica Dominguez?
The Centers for Medicare & Medicaid Services originally issued the 1093841140 to Jessica Dominguez on 2007-02-25.
As of what date were the Jessica Dominguez's details last updated?
The information pertaining to the Jessica Dominguez, including its address, specialty, and other details, was most recently updated on 2022-02-11.