Individual provider · Type 1 NPI

Timothy Cage Domiccio

Addiction (Substance Use Disorder) Counselor · Claremont, CA

NPI number 1447056676 Active

Practice location

650 S Indian Hill Blvd
Claremont, CA 91711-5444

Call (909) 476-2023 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1594370125 (CA)

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

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About NPI 1447056676

Timothy Cage Domiccio's National Provider Identifier is 1447056676, issued on Feb 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Claremont, CA. The record was last updated on Feb 19, 2025.