Holcom Dominguez, Kathleen
Holcom Dominguez, Kathleen is an individual health care provider with primary practice located at 340 Nw 5Th St Box 1710, Redmond OR 97756-1869. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Holcom Dominguez, Kathleen can be contacted via phone (541) 475-6575.Contact Information
Primary practice address
340 Nw 5Th St Box 1710
Redmond OR 97756-1869
Phone: (541) 475-6575
Fax: (541) 504-1195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1902262637 |
|---|---|
| LBN Legal business name | Holcom Dominguez, Kathleen |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2016 |
| Last updated | Jan 11th, 2016 - about 9 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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