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Nicholas Glen Dominique
Mental Health Counselor in Seattle, Washington
NPI 1811469463

Nicholas Glen Dominique is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Nicholas Glen Dominique practices in Seattle, WA. The NPI Number for Nicholas Glen Dominique is 1811469463 and holds a License No. (Washington).

The current practice location address for Nicholas Glen Dominique is 222 Wall St # 100, Seattle, WA and can be reached out via phone at 206-441-3043.

Location: 222 Wall St # 100, Seattle, WA, 98121-1431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811469463
Provider Name
Nicholas Glen Dominique
Credential
Provider Entity Type
Individual
Gender
Male
Address
222 Wall St # 100, Seattle, WA, 98121-1431
Phone Number
206-441-3043
Fax Number
Provider Enumeration Date
12/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Wall St # 100
City
Seattle
State
Washington
Zip
98121-1431
Phone Number
206-441-3043
Fax Number
person
Provider Business Mailing Address Details
Address
222 Wall St # 100
City
Seattle
State
Washington
Zip
98121-1431
Phone Number
206-441-3043
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...
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