Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Domenick

Individual provider Peer Specialist · NPI 1306525233

Anthony Domenick is a Peer Specialist in Warren, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1212 Tod Pl NW
Warren, OH 44485-2475
Phone: (330) 469-6822
Fax: (330) 294-5641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2430 Parkman Rd Nw, Warren, OH 44485-1777 — (330) 469-6822

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.189692 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.005338 (OH)

Record details

NPI number1306525233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing addressPo Box 1212, Warren, OH 44482-1212

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