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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANDICE LEANN DOMINGUEZ

Active Sole Proprietor

CANDICE LEANN DOMINGUEZ is a Counselor healthcare provider located in KEOTA, Oklahoma. NPI 1023362142 is currently active in the NPPES registry. Verify at CMS.

Counselor · KEOTA, OK

Registration Details

NPI Number
1023362142
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2012 (13.786972655282 yrs)
Last Updated
Oct 29, 2012
License
1-14-12 (OK)
Sole Proprietor
Yes

Practice Information

Address
40936 E COUNTY ROAD 1230
KEOTA, OK, 749416439
Browse OK providers · Browse ZIP 74941
Phone
9184718936
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in KEOTA, OK

Name Credential NPI
VICKI GILSTRAP 1730470725
MARCIA LYNN PARKER 1558615674
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.