Timothy Cage Domiccio Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Claremont, CA
- NPI
- 1447056676
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- R1594370125 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-19
Practice location
650 S Indian Hill Blvd
Claremont, CA 91711-5444
(909) 476-2023