Individual provider · Type 1 NPI

Dominique Michele Charles

Mental Health Counselor · Orlando, FL

NPI number 1043709462 Active

Practice location

1800 Mercy Dr
Orlando, FL 32808-5646

Fax (407) 659-0411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043709462

Dominique Michele Charles's National Provider Identifier is 1043709462, issued on May 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on May 2, 2018.