Individual
DOMINIQUE ELYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
60150 WERDERMAN RD, LENOX, MI 48048-1632
(586) 557-3774
Mailing address
60150 WERDERMAN RD, LENOX, MI 48048-1632
(586) 557-3774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023232APP23
MI
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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