Individual
DOMINICK CHARLES ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
22232 17TH AVE SE STE 307, BOTHELL, WA 98021-7425
(801) 655-5450
(385) 225-9327
Mailing address
1469 N 1200 W, OREM, UT 84057-2449
(801) 655-5450
(385) 225-9327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/08/2013
Last updated
04/02/2026
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