ANDREW DOMINGUES

BERKELEY, CA
NPI1487054219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-08-29
Last Update Date2014-08-29
Business Address
-- ANDREW DOMINGUES
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Mailing Address
-- ANDREW DOMINGUES
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552