John Anthony Dedomenico M.S. MFT

NPI 1326194911 - Counselor - 101YP2500X

NPI Details
NPI 1326194911
Gender Male
Enumeration Date 01/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2020 BLAKE ST
BERKELEY CA, 94704, US
Phone (415) 746-1967
Fax
Business Location
2020 BLAKE ST
BERKELEY CA, 94704-2604, US
Phone (510) 848-2444
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State California
License Number MFC 30336
Remove 1326194911 NPI Number
 

According to our database, Mr. John Anthony Dedomenico M.S. MFT NPI is 1326194911, taxonomy code is 101YP2500X and license number is MFC 30336, license state is located at California. John Anthony Dedomenico M.S. MFT physically located at 2020 Blake St, Berkeley CA, 94704. NPI Number John Anthony Dedomenico M.S. MFT has the Individual type.

Sponsored links

1326194911 NPI number is provided on an as is basis without warranty of any kind. 1326194911 is maintained by the National Plan & Provider Enumeration System. The contents of John Anthony Dedomenico M.S. MFT are for informational purposes only.