Individual
MR. JOHN ANTHONY DEDOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. MFT
Contact information
Practice address
2020 BLAKE ST, BERKELEY, CA 94704
(415) 746-1967
Mailing address
2020 BLAKE ST, BERKELEY, CA 94704-2604
(510) 848-2444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFC 30336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30097
BIS
CA
Enumeration date
01/26/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us