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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE WISE

Active Sole Proprietor

DOMINIQUE WISE is a Counselor healthcare provider located in SAN JOSE, California. NPI 1548622897 is currently active in the NPPES registry. Verify at CMS.

Counselor · SAN JOSE, CA

Registration Details

NPI Number
1548622897
Provider Type
Individual
Gender
Male
NPI Issued
Mar 25, 2016 (10.425813783082 yrs)
Last Updated
Jul 16, 2018
Sole Proprietor
Yes

Practice Information

Address
1887 MONTEREY HWY STE 205
SAN JOSE, CA, 95112
Browse CA providers · Browse ZIP 95112
Phone
4089719822
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor
Additional Specialty
Mental Health Counselor

Other Counselor Providers in SAN JOSE, CA

Name Credential NPI
JOYCE RUBA BA 1598717712
WENDY LESLIE BA/BS 1982656062
JILL MOODY LPT 1417909540
KRISTIN LLOYD BA 1801840277
CHRYSTAL CHACON BA 1922053479
MARITZA EMELY SILAPASVANG 1568544161
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.