Individual
ROGER DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601
Mailing address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/25/2021
Last updated
06/18/2026
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