Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE WILSON
Active Sole ProprietorDOMINIQUE WILSON is a Professional Counselor healthcare provider located in CHISAGO CITY, Minnesota. NPI 1083369490 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CHISAGO CITY, MN
Registration Details
- NPI Number
- 1083369490
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2022 (4.3130912448839 yrs)
- Last Updated
- Feb 14, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
11185 LAKE BLVD STE 205CHISAGO CITY, MN, 550139814Browse MN providers · Browse ZIP 55013
- Phone
- 9522283487
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CHISAGO CITY, MN
| Name | Credential | NPI |
|---|---|---|
| DANA MARIE ANDERSEN | — | 1982482436 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.