person
Brian Lee Domitrovich, SUDCC
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1467060798

Brian Lee Domitrovich is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Brian Lee Domitrovich practices in Oakland, CA and has the professional credentials of SUDCC. The NPI Number for Brian Lee Domitrovich is 1467060798 and holds a License No. 13534 (California).

The current practice location address for Brian Lee Domitrovich is 2577 San Pablo Ave, Oakland, CA and can be reached out via phone at 510-466-6100.

Location: 2577 San Pablo Ave, Oakland, CA, 94605-2018
person
Provider Profile Details
NPI Number
1467060798
Provider Name
Brian Lee Domitrovich
Credential
SUDCC
Provider Entity Type
Individual
Gender
Female
Address
2577 San Pablo Ave, Oakland, CA, 94605-2018
Phone Number
510-466-6100
Fax Number
Provider Enumeration Date
07/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2577 San Pablo Ave
City
State
Zip
94612-1159
Phone Number
510-466-6100
Fax Number
person
Provider Business Mailing Address Details
Address
2577 San Pablo Ave
City
State
Zip
94612-1159
Phone Number
510-466-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13534 (California)
Definition
Definition to come...
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