Gwynneth Madeleine Domecq
Gwynneth Madeleine Domecq is a Marriage & Family Therapist in Oakland, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
3301 E 12th StOakland, CA 94601-3424
Phone: (510) 269-9030
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 144158 (CA) |
|---|
Record details
| NPI number | 1659068096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
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