Individual
MS. SARAH JANE DOMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
19800 HALL RD, CLINTON TOWNSHIP, MI 48038-5318
(586) 948-0222
Mailing address
19800 HALL RD, CLINTON TWP, MI 48038-5318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018907
MI
101YP2500X
Professional Counselor
6401011423
MI
Other
Enumeration date
01/13/2011
Last updated
05/18/2022
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