KATHLEEN HOLCOM DOMINGUEZ QMHA
NPI 1902262637
Counselor in Redmond, OR
- Individual
- Female
- Counselor
About KATHLEEN HOLCOM DOMINGUEZ
This page provides the complete NPI Profile along with additional information for Kathleen Holcom Dominguez, a provider established in Redmond, Oregon with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1902262637 assigned on January 2016. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1902262637 Verify this NPI
- Provider Name
- KATHLEEN HOLCOM DOMINGUEZ QMHA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 340 NW 5TH ST BOX 1710 REDMOND, OR 97756
- Location Phone
- (541) 475-6575
- Location Fax
- (541) 504-1195
- Mailing Address
- 125 SW C ST MADRAS, OR 97741
- Mailing Phone
- (541) 475-6575
- Mailing Fax
- (541) 504-1195
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2016
- Last Update Date
- 01-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
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REDMOND, OR 97756
REDMOND, OR 97756
REDMOND, OR 97756
REDMOND, OR 97756
REDMOND, OR 97756
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902262637, enumerated as an "individual" on January 11, 2016.
The provider is located at 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 and the phone number is (541) 475-6575.
Counselor with taxonomy code 101Y00000X.