Individual
MR. DOMENIC JOHN CARNUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., N.C.C., L.P.C.
Contact information
Practice address
440 E MARSHALL ST STE 100, EAST MARSHALL STREET MEDICAL CAMPUS, WEST CHESTER, PA 19380-5414
(610) 431-2044
(610) 431-2045
Mailing address
316 TASHA LN, COATESVILLE, PA 19320-4260
(610) 466-9693
(610) 431-2045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004241
PA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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