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Individual
DAN JOSEPH DOMEIER
Active
Individual
DAN JOSEPH DOMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI31541220
CA
374700000X
Technician
—
—
Other
Enumeration date
05/24/2018
Last updated
08/29/2023
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