Individual
DOMINIQUE ANTAWN MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-R
Contact information
Practice address
247 MCLAWS CIR, WILLIAMSBURG, VA 23185-5660
(757) 253-0111
Mailing address
247 MCLAWS CIR, WILLIAMSBURG, VA 23185-5660
(757) 253-0111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0709024174
VA
101YP2500X
Professional Counselor
Primary
0704014275
VA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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