Individual provider · Type 1 NPI

Roger Domingo

Addiction (Substance Use Disorder) Counselor · Plymouth, MI

NPI number 1801563176 Active

Practice location

44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085

Call (313) 278-4601 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1801563176

Roger Domingo's National Provider Identifier is 1801563176, issued on Aug 25, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MI. The record was last updated on Jun 18, 2026.