Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Amezcua

Individual provider Counselor · NPI 1912450420

Dominique Amezcua is a Counselor in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

5258 S Eastern Ave
Las Vegas, NV 89119-2326
Phone: (702) 464-5080
Fax: (702) 464-5081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1912450420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2016
Last updated in NPPESAugust 1, 2016

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