Individual
DOMINIQUE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
(202) 724-7666
Mailing address
3001 PARK CENTER DR APT 911, ALEXANDRIA, VA 22302-1444
(469) 579-6416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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