Individual provider · Type 1 NPI
Domenic John Carnuccio, M.A., N.C.C., L.P.C.
Professional Counselor · West Chester, PA
NPI number
1255481735
Active
Practice location
440 E Marshall St Ste 100, East Marshall Street Medical Campus
West Chester, PA 19380-5414
Fax (610) 431-2045
Mailing address
316 Tasha Ln
Coatesville, PA 19320-4260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC004241 (PA) |
Professional Counselor: Definition to come...
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About NPI 1255481735
Domenic John Carnuccio, M.A., N.C.C., L.P.C.'s National Provider Identifier is 1255481735, issued on Jan 10, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Chester, PA. The record was last updated on Jul 8, 2007.