Individual provider · Type 1 NPI

Andrea R. Domenico

Mental Health Counselor · Manchester, NH

NPI number 1174078885 Active

Practice location

1361 Elm St Ste 400
Manchester, NH 03101-1323

Call (603) 232-6987 Map

Mailing address

11 Clear Creek Way
Manchester, NH 03102-8462

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1205 (NH)

Mental Health Counselor: Definition to come...

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About NPI 1174078885

Andrea R. Domenico's National Provider Identifier is 1174078885, issued on Aug 23, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, NH. The record was last updated on Aug 23, 2016.