MEDICARE: FREDDY DOMINGUEZ JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1205768850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDDY DOMINGUEZ JR.

Provider Business Mailing Address
First Line	:	77 MILL ST
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4598
Country	:	US
Telephone Number	:	413-568-6141
Fax Number	:	413-572-4104

Provider Business Practice Location Address
First Line	:	77 MILL ST
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4598
Country	:	US
Telephone Number	:	413-568-6141
Fax Number	:	413-572-4104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

Similar Medicare Providers

1821670092 — NOCHMARA LEON
Practice Location Address:

77 MILL ST
WESTFIELD, MA
01085-4598

Practice Phone: 413-568-1421
Practice Fax: 413-572-4117

1093716326 — MRS. ANNMARIE HOTCHKISS LCSW, LICSW
Practice Location Address:

77 MILL ST
WESTFIELD, MA
01085-4598

Practice Phone: 413-568-1421
Practice Fax:

1891737987 — DR. CATHERINE S. HAIR M.D.
Practice Location Address:

77 MILL ST , SUITE 251
WESTFIELD, MA
01085-4598

Practice Phone: 413-568-6141
Practice Fax: 413-572-4106

1861594079 — NOBLE VISITING NURSE AND HOSPICE SERVICES, INC.
Practice Location Address:

77 MILL ST , SUITE 201
WESTFIELD, MA
01085-4598

Practice Phone: 413-562-7049
Practice Fax: 413-568-9434

1346337680 — MS. AMBER DAWN JANES LICSW
Practice Location Address:

77 MILL ST
WESTFIELD, MA
01085-4598

Practice Phone: 413-568-1421
Practice Fax:

1245397660 — SARA BREWER M.D.
Practice Location Address:

77 MILL ST
WESTFIELD, MA
01085-4598

Practice Phone: 413-301-9355
Practice Fax: 413-572-4117

Directions to “ FREDDY DOMINGUEZ JR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.