Individual
CHARLES MATTHEW DOMONKOS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1815 W MARKET ST, AKRON, OH 44313-7000
(567) 225-1313
Mailing address
1815 W MARKET ST STE 108, AKRON, OH 44313-7018
(330) 888-2251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187812
OH
Other
Enumeration date
03/28/2024
Last updated
04/01/2024
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