ANTHONY DOMENICK
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1306525233
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | No | APS.005338 (OH) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CDCA.189692 (OH) |
Frequently Asked Questions
NPI 1306525233 is the National Provider Identifier for ANTHONY DOMENICK, a Counselor - Addiction (Substance Use Disorder) provider located in Warren, OH. This NPI was enumerated on July 17, 2023.
ANTHONY DOMENICK practices at 1212 TOD PL NW, Warren, OH 44485.
Quick Facts
- NPI
- 1306525233
- Type
- Individual
- Enumerated
- Jul 17, 2023
- Last Updated
- Sep 19, 2024
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