Individual
MR. ALBERT A DEDOMINICIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,LBS
Contact information
Practice address
1607 3RD ST, BEAVER, PA 15009-2420
(724) 728-8411
Mailing address
1285 5TH AVE, FREEDOM, PA 15042-1805
(412) 260-6649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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