Walker, Dominique

Walker, Dominique is an individual health care provider with primary practice located at 79 W Alexandrine St , Detroit MI 48201-2015. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Walker, Dominique can be contacted via phone (313) 831-5535.

Contact Information

Primary practice address
79 W Alexandrine St Detroit MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401017213 Michigan
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401017213 Michigan

Profile Details

NPI number 1891143996
LBN Legal business name Walker, Dominique
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated Dec 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891143996 NPPES
Michigan MEDICAID 1891143996

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