Individual provider · Type 1 NPI

Dominique Balderas, LPC

Mental Health Counselor · Waukesha, WI

NPI number 1245984996 Active

Practice location

W317S3439 State Road 83 Apt B
Waukesha, WI 53189-9428

Call (414) 759-5247 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19426 (WI)
Mental Health Counselor Primary 101YM0800X11434125 (WI)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Waukesha

See all in Waukesha →

About NPI 1245984996

Dominique Balderas, LPC's National Provider Identifier is 1245984996, issued on Feb 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukesha, WI. The record was last updated on Apr 1, 2025.