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Dominique Wise
Mental Health Counselor in San Jose, California
NPI 1548622897

Dominique Wise is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Dominique Wise practices in San Jose, CA. The NPI Number for Dominique Wise is 1548622897 and holds a License No. (California).

The current practice location address for Dominique Wise is 1887 Monterey Hwy Ste 205, San Jose, CA and can be reached out via phone at 408-971-9822.

Location: 1887 Monterey Hwy Ste 205, San Jose, CA, 95112-6192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548622897
Provider Name
Dominique Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
1887 Monterey Hwy Ste 205, San Jose, CA, 95112-6192
Phone Number
408-971-9822
Fax Number
Provider Enumeration Date
03/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1887 Monterey Hwy Ste 205
City
San Jose
State
California
Zip
95112
Phone Number
408-971-9822
Fax Number
person
Provider Business Mailing Address Details
Address
1887 Monterey Hwy Ste 205
City
San Jose
State
California
Zip
95112
Phone Number
408-971-9822
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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