Individual
CHAD DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 WAIMANO HOME RD, PEARL CITY, HI 96782-1478
(808) 454-1411
Mailing address
2501 WAIMANO HOME RD, PEARL CITY, HI 96782-1478
(808) 454-1411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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