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

Timothy Cage Domiccio

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447056676

Timothy Cage Domiccio is an Addiction (Substance Use Disorder) Counselor in Claremont, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

650 S Indian Hill Blvd
Claremont, CA 91711-5444
Phone: (909) 476-2023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1594370125 (CA)

Record details

NPI number1447056676
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address650 S Indian Hill Blvd, Claremont, CA 91711-5444

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