Individual
MS. DOMINIQUE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(330) 869-8263
Mailing address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(330) 869-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.1302975
OH
101YM0800X
Mental Health Counselor
Primary
S.1302975
OH
101YP2500X
Professional Counselor
S.1302975
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/27/2019
Last updated
07/02/2019
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