Individual provider · Type 1 NPI

Peter Dedominici, LSW

Mental Health Counselor · Fairborn, OH

NPI number 1649923442 Active

Practice location

188 W Hebble Ave
Fairborn, OH 45324-4960

Call (937) 754-5911 Map

Fax (999) 999-9999

Mailing address

PO Box 3095
Dublin, OH 43016-0046

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS0029122 (OH)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649923442

Peter Dedominici, LSW's National Provider Identifier is 1649923442, issued on Feb 1, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairborn, OH. The record was last updated on Feb 22, 2023.