Patricia Gwen Dominguez, RADT - in Sacramento, CA

Patricia Gwen Dominguez, RADT is a Counselor - Addiction (substance Use Disorder) based in Sacramento, California. Patricia Gwen Dominguez is licensed to practice in California (license number R1423320321) and her current practice location is 310 Harris Ave Ste A, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at (916) 649-6793.

NPI number for Patricia Gwen Dominguez is 1043886054 and her current mailing address is 310 Harris Ave Ste A310, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043886054.

Contact Information

Patricia Gwen Dominguez, RADT
310 Harris Ave Ste A,
Sacramento, CA 95838-3249
(916) 649-6793
(916) 929-7411



Healthcare Provider's Profile

Full NamePatricia Gwen Dominguez
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location310 Harris Ave Ste A, Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043886054
  • Provider Enumeration Date: 06/01/2021
  • Last Update Date: 06/03/2021

Medical Identifiers

Medical identifiers for Patricia Gwen Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043886054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) R1423320321 (California)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) R1423320321 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia Gwen Dominguez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patricia Gwen Dominguez, RADT
310 Harris Ave Ste A310,
Sacramento, CA 95838-3249

Ph: (916) 649-6793
Patricia Gwen Dominguez, RADT
310 Harris Ave Ste A,
Sacramento, CA 95838-3249

Ph: (916) 649-6793

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