Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EUGENE DOMENICO, PHD LCSW
ActiveDR. EUGENE DOMENICO, PHD LCSW is a Mental Health Counselor healthcare provider located in LOCKPORT, New York. NPI 1679608103 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LOCKPORT, NY
Registration Details
- NPI Number
- 1679608103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2007 (19.288332830759 yrs)
- Last Updated
- Dec 16, 2009
- Licenses
-
034738-1 (NY)034738-1 (NY)034738-1 (NY)
Practice Information
- Address
-
MARKET STREETBEWLEY BUILDING SUITE #437LOCKPORT, NY, 14094Browse NY providers · Browse ZIP 14094
- Phone
- 7164382436
- Fax
- 7164382435
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Psychologist
Other Mental Health Counselor Providers in LOCKPORT, NY
| Name | Credential | NPI |
|---|---|---|
| SHANNON SCHMITT | MS. ED., LMHC | 1699721936 |
| CYNTHIA MARIE MCPHADEN | LMHC | 1417058819 |
| ANDREA G GRAZIANO | LMHC CASAC | 1386888998 |
| MRS. KERRY ANNE COLLINS | LMHC | 1407081102 |
| TRACY SHERMAN | — | 1265726269 |
| HEATHER WATT ODUM | LMHC | 1336412196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.