person
Domingo Nieves JR., CLINICALCOORDINATOR
Addiction (Substance Use Disorder) Counselor in Springfield, Massachusetts
NPI 1740702547

Domingo Nieves JR. is an Addiction (Substance Use Disorder) Counselor based in Springfield, MA and is specialized in Addiction (Substance Use Disorder). Domingo Nieves JR. practices in Springfield, MA and has the professional credentials of CLINICALCOORDINATOR. The NPI Number for Domingo Nieves JR. is 1740702547 and holds a License No. (Massachusetts).

The current practice location address for Domingo Nieves JR. is 2225 Main St., Springfield, MA and can be reached out via phone at 413-733-3488 and via fax at 413-731-7381.

Location: 2225 Main St., Springfield, MA, 01107-1905
person
Provider Profile Details
NPI Number
1740702547
Provider Name
Domingo Nieves JR.
Credential
CLINICALCOORDINATOR
Provider Entity Type
Individual
Gender
Male
Address
2225 Main St., Springfield, MA, 01107-1905
Phone Number
413-733-3488
Fax Number
413-731-7381
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3080010 05 NH
1301829 05 MA
institution
Provider Business Practice Location Address Details
Address
2225 Main St.
City
State
Zip
01107
Phone Number
413-733-3488
Fax Number
413-731-7381
person
Provider Business Mailing Address Details
Address
2225 Main St.
City
State
Zip
01107
Phone Number
413-733-3488
Fax Number
413-731-7381
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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