MATTHEW DOMINGOS

PETALUMA, CA
NPI1316818925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-09-16
Last Update Date2025-09-16
Business Address
-- MATTHEW DOMINGOS
201 H ST APT C
PETALUMA, CA 94952-5166
Phone number: 707-544-3295
Mailing Address
-- MATTHEW DOMINGOS
201 H ST APT C
PETALUMA, CA 94952-5166
Phone number: 707-544-3295