Individual provider · Type 1 NPI

Domonique Mackey

Addiction (Substance Use Disorder) Counselor · Redlands, CA

NPI number 1366148686 Active

Practice location

1889 W Redlands Blvd Bldg 9
Redlands, CA 92373-3119

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1495320123 (CA)

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

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About NPI 1366148686

Domonique Mackey's National Provider Identifier is 1366148686, issued on Feb 7, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redlands, CA. The record was last updated on Jan 25, 2024.