PATRICIA GWEN DOMINGUEZ

ROSEVILLE, CA
NPI1043886054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20582)
Enumeration Date2021-06-01
Last Update Date2025-11-11
Business Address
PATRICIA GWEN DOMINGUEZ RADT
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
PATRICIA GWEN DOMINGUEZ RADT
310 HARRIS AVE STE A310
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793