Individual provider · Type 1 NPI

Dominique Duke

Mental Health Counselor · San Luis Obispo, CA

NPI number 1164627048 Active

Practice location

3765 S Higuera St
San Luis Obispo, CA 93401-1570

Mailing address

216 Cranberry St
Arroyo Grande, CA 93420-6717

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164627048

Dominique Duke's National Provider Identifier is 1164627048, issued on Jun 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.