Individual provider · Type 1 NPI
Matthew Domingos
Addiction (Substance Use Disorder) Counselor · Petaluma, CA
NPI number
1316818925
Active
Practice location
201 H St Apt C
Petaluma, CA 94952-5166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316818925
Matthew Domingos's National Provider Identifier is 1316818925, issued on Sep 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petaluma, CA. The record was last updated on Sep 16, 2025.