Individual provider · Type 1 NPI
Khirrah Domask, MSW, LSW
Addiction (Substance Use Disorder) Counselor · Columbus, OH
NPI number
1508399551
Active
Practice location
455 E Mound St
Columbus, OH 43215-5595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | S.1601176 (CA) |
| Mental Health Counselor | 101YM0800X | S.1601176 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Matthew Robert Canan, CDCAAddiction (Substance Use Disorder) Counselor Columbus, OH NPI 1003640079
About NPI 1508399551
Khirrah Domask, MSW, LSW's National Provider Identifier is 1508399551, issued on Apr 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Apr 6, 2017.