Individual provider · Type 1 NPI

Domonique Ashleigh-Nicole Wilson, LPC

Professional Counselor · Richmond, VA

NPI number 1588280424 Active

Practice location

11221 Arbor Creek Dr Apt 436
Richmond, VA 23233-0206

Call (434) 414-4555 Map

Mailing address

PO Box 2922
Glen Allen, VA 23058-2922

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701009434 (VA)

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About NPI 1588280424

Domonique Ashleigh-Nicole Wilson, LPC's National Provider Identifier is 1588280424, issued on Jun 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, VA. The record was last updated on Nov 16, 2021.