Matt Domico Lcsw LLC

NPI #1962294629 in Peoria, Illinois

Provider Information

NPI Number
1962294629
Entity Type
Organization
Organization Name
Matt Domico Lcsw LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
May 20, 2025
Last Updated
May 20, 2025

Practice Location

Address
5901 N PROSPECT RD STE 105
City
Peoria
ZIP Code
61614-4358
Phone
(815) 701-6317

Authorized Official

Name
MATT DOMICO, LCSW
Title
CEO
Phone
(815) 701-6317

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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