Individual provider · Type 1 NPI

Andrew Domingues Iv

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1487054219 Active

Practice location

1931 Center St
Berkeley, CA 94704-1105

Call (510) 666-9552 Map

Fax (510) 666-0987

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487054219

Andrew Domingues Iv's National Provider Identifier is 1487054219, issued on Aug 29, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Aug 29, 2014.