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CANDICE LEANN DOMINGUEZ
NPI 1023362142
Counselor in Keota, OK

Active since October 29, 2012
40936 E COUNTY ROAD 1230, KEOTA, OK 74941(918) 471-8936 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Leann Dominguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE LEANN DOMINGUEZ (NPI 1023362142) is an individual counselor in Keota, Oklahoma, licensed in Oklahoma (1-14-12) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1023362142
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCANDICE LEANN DOMINGUEZ
Location Address40936 E COUNTY ROAD 1230Keota, OK 74941-6439
Mailing Address40936 E County Road 1230Keota, OK 74941-6439 · (918) 471-8936
Phone(918) 471-8936
Sole ProprietorYes
Enumeration DateOctober 29, 2012
✔ NPI 1023362142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 1-14-12
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
40936 E COUNTY ROAD 1230, Keota, OK 74941
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Dominguez's NPI number?

The NPI number for Candice Dominguez is 1023362142. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Candice Dominguez located?

Candice Dominguez practices at 40936 E County Road 1230, Keota, OK 74941. The listed phone number is (918) 471-8936.

What is Candice Dominguez's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Candice Dominguez was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.