Individual
DOMONIQUE A HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 721426, NAALEHU, HI 96772-1119
(808) 977-0134
Mailing address
12022 167TH DR NE APT 3, ARLINGTON, WA 98223-5861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61465055
WA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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