Dominguez, Ercilia
Dominguez, Ercilia is an individual health care provider with primary practice located at 14545 Sherman Way Cir , Van Nuys CA 91405. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dominguez, Ercilia can be contacted via phone (818) 901-4830.Contact Information
Primary practice address
14545 Sherman Way Cir
Van Nuys CA 91405
Phone: (818) 901-4830
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 206722 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | AMFT112092 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | AMFT112092 | California |
Profile Details
NPI number | 1558909267 |
---|---|
LBN Legal business name | Dominguez, Ercilia |
Credentials | Marriage and Family Therapist (MFT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2019 |
Last updated | Apr 28th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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