Individual
DOMINIQUE KRYSTAL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 BROADWAY STE 403, NEW YORK, NY 10010-8151
(212) 481-1055
Mailing address
928 BROADWAY STE 403, NEW YORK, NY 10010-8151
(212) 481-1055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
09/08/2025
Last updated
10/24/2025
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