Individual provider · Type 1 NPI

Dominic Idoko, MA

Mental Health Counselor · Southbridge, MA

NPI number 1023131083 Active

Practice location

100 South St
Southbridge, MA 01550-4051

Fax (508) 765-3147

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023131083

Dominic Idoko, MA's National Provider Identifier is 1023131083, issued on Apr 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southbridge, MA. The record was last updated on Jul 8, 2007.