Individual
CHRISTOPHER AVERY DI DOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NORTH SITE: 4441 AUBURN BLVD, SUITE E, SACRAMENTO, CA 95827
(916) 473-5764
Mailing address
9851 FOLSOM BLVD APT A, SACRAMENTO, CA 95827-1328
(208) 515-9457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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