Individual provider · Type 1 NPI

Anthony Domenick

Addiction (Substance Use Disorder) Counselor · Warren, OH

NPI number 1306525233 Active

Practice location

1212 Tod Pl NW
Warren, OH 44485-2475

Call (330) 469-6822 Map

Fax (330) 294-5641

Mailing address

PO Box 1212
Warren, OH 44482-1212

Other practice locations

  • 2430 Parkman Rd NW, Warren, OH 44485-1777 · (330) 469-6822

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XAPS.005338 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.189692 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306525233

Anthony Domenick's National Provider Identifier is 1306525233, issued on Jul 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warren, OH. The record was last updated on Sep 19, 2024.