person
Dominique Wilson
Professional Counselor in Chisago City, Minnesota
NPI 1083369490

Dominique Wilson is a Professional Counselor based in Columbus, MN and is specialized in Professional. Dominique Wilson practices in Chisago City, MN. The NPI Number for Dominique Wilson is 1083369490 and holds a License No. (Minnesota).

The current practice location address for Dominique Wilson is 11185 Lake Blvd Ste 205, Chisago City, MN and can be reached out via phone at 952-228-3487.

Location: 11185 Lake Blvd Ste 205, Chisago City, MN, 55025-8869
person
Provider Profile Details
NPI Number
1083369490
Provider Name
Dominique Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11185 Lake Blvd Ste 205, Chisago City, MN, 55025-8869
Phone Number
952-228-3487
Fax Number
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11185 Lake Blvd Ste 205
City
State
Zip
55013-9814
Phone Number
952-228-3487
Fax Number
person
Provider Business Mailing Address Details
Address
11185 Lake Blvd Ste 205
City
State
Zip
55013-9814
Phone Number
952-228-3487
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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