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MISS JULIETA CHRISTIAN DOMINGUEZ NPI 1396000444


NPI Information

NPI: 1396000444
Provider Name: MISS JULIETA CHRISTIAN DOMINGUEZ
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
672 S. LAFAYETTE PARK PLACE
SUITE 6
LOS ANGELES, CA
ZIP 90057
Phone: (213) 381-3626
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MISS Julieta Christian Dominguez is a marriage family therapist in Los Angeles, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MISS Julieta Christian Dominguez NPI is 1396000444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

672 S. LAFAYETTE PARK PLACE
SUITE 6
LOS ANGELES, CA
ZIP 90057
Phone: (213) 381-3626
Fax: (213) 380-8923

The enumeration date for this NPI number is 7/5/2012 and was last updated on 6/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11396000444OTHERCALIFORNIANPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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