Individual provider · Type 1 NPI
Linda S. Domiano, L.I.S.A.C.
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1508293291
Active
Practice location
32 S Macdonald
Mesa, AZ 85210-1310
Fax (480) 264-0687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10774 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508293291
Linda S. Domiano, L.I.S.A.C.'s National Provider Identifier is 1508293291, issued on Sep 26, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Sep 26, 2013.