Matthew David Domico in Romeoville - Counselor

Matthew David Domico - NPI 1790999191

Matthew David Domico is a Counselor in Romeoville, Illinois. Matthew David Domico practices all healthcare services and medical treatments related to Counselor. The NPI Number for Matthew David Domico is 1790999191. The last update date is 2007-07-08.

Matthew David Domico's current location address is 34 Phelps Ave, Romeoville, Illinois. You can contact this provider via phone number 8153728950. The mailing address for Matthew David Domico is 34 Phelps Ave, Romeoville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew David Domico
Address 34 Phelps Ave, Romeoville, Illinois
Phone Number 8153728950
Fax Number
Sole Proprietor N
Credentials MSW, LSW

NPI Number Detail

NPI Number 1790999191
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 34 Phelps Ave
City Romeoville
State Illinois (IL)
Post Code 604461388
Phone Number 8153728950
Fax Number

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

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FAQs about Matthew David Domico

What is the unique provider identifier assigned to Matthew David Domico?

The Matthew David Domico has been issued the NPI (National Provider Identifier) 1790999191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Matthew David Domico is physically located?

The Matthew David Domico is physically situated at the following address: 34 Phelps Ave, Romeoville, IL, 604461388.

What is Matthew David Domico's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Matthew David Domico's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.

When did Matthew David Domico receive its 1790999191 assignment?

The Matthew David Domico was assigned its 1790999191 on 2007-05-09, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Matthew David Domico most recently updated or revised?

The details related to Matthew David Domico, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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