Individual provider · Type 1 NPI

Jade M. Domos, CDCA-PRE

Addiction (Substance Use Disorder) Counselor · Youngstown, OH

NPI number 1932932472 Active

Practice location

550 W Chalmers Ave
Youngstown, OH 44511-1576

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.189103 (OH)

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

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About NPI 1932932472

Jade M. Domos, CDCA-PRE's National Provider Identifier is 1932932472, issued on Aug 21, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Youngstown, OH. The record was last updated on Aug 21, 2024.