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Mr. John Anthony Dedomenico, MSMFT
Professional Counselor in Berkeley, California
NPI 1326194911

John Anthony Dedomenico is a Professional Counselor based in Berkeley, CA and is specialized in Professional. John Anthony Dedomenico practices in Berkeley, CA and has the professional credentials of MSMFT. The NPI Number for John Anthony Dedomenico is 1326194911 and holds a License No. MFC 30336 (California).

The current practice location address for John Anthony Dedomenico is 2020 Blake St, Berkeley, CA and can be reached out via phone at 415-746-1967.

Location: 2020 Blake St, Berkeley, CA, 94704-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326194911
Provider Name
John Anthony Dedomenico
Credential
MSMFT
Provider Entity Type
Individual
Gender
Male
Address
2020 Blake St, Berkeley, CA, 94704-2604
Phone Number
415-746-1967
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30097 01 CA BIS
institution
Provider Business Practice Location Address Details
Address
2020 Blake St
City
Berkeley
State
California
Zip
94704
Phone Number
415-746-1967
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Blake St
City
Berkeley
State
California
Zip
94704
Phone Number
415-746-1967
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
MFC 30336 (California)
Definition
Definition to come...
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