DOMINIQUE CASILLAS
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1720782063
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1720782063 is the National Provider Identifier for DOMINIQUE CASILLAS, a Counselor - Addiction (Substance Use Disorder) provider located in South Daytona, FL. This NPI was enumerated on March 29, 2023.
DOMINIQUE CASILLAS practices at 1910 S PALMETTO AVE APT 105, South Daytona, FL 32119.
Quick Facts
- NPI
- 1720782063
- Type
- Individual
- Enumerated
- Mar 29, 2023
- Last Updated
- Oct 17, 2024
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