Individual
MS. DOMONIQUE ASHLEIGH-NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11221 ARBOR CREEK DR APT 436, RICHMOND, VA 23233-0206
(434) 414-4555
Mailing address
PO BOX 2922, GLEN ALLEN, VA 23058-2922
(434) 414-4555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009434
VA
Other
Enumeration date
06/16/2020
Last updated
11/16/2021
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