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

Patricia Gwen Dominguez, SUDCCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043886054

Patricia Gwen Dominguez, SUDCCII is an Addiction (Substance Use Disorder) Counselor in Roseville, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1133 Coloma Way Ste C
Roseville, CA 95661-4480
Phone: (916) 774-6647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20582 (CA)

Record details

NPI number1043886054
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCCII
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

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