Candice Leann Dominguez
Counselor · Keota, OK
Practice location
40936 E County Road 1230Keota, OK 74941-6439
- Phone
- (918) 471-8936
NPI record
- NPI
- 1023362142
- Entity type
- Individual (Type 1)
- Enumeration date
- October 29, 2012
- Last updated
- October 29, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
1-14-12 | OK |
About Candice Dominguez
Candice Leann Dominguez is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 40936 E County Road 1230, Keota, OK 74941-6439. The NPI number 1023362142 was assigned on October 29, 2012 and the record was last updated on October 29, 2012.
Candice Dominguez lists a license in the registry: #1-14-12 (OK) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Candice Leann Dominguez?
The NPI number is 1023362142.
What is the phone number of Candice Dominguez?
The phone number listed for the practice location is (918) 471-8936.
Where is Candice Dominguez located?
40936 E County Road 1230, Keota, OK 74941-6439.
What is the taxonomy code for Candice Dominguez?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Counselor providers in Keota
- Marcia Lynn Parker14900 J St
- Vicki Gilstrap40178 S CR 4550 Rd.