Individual
DOMINIQUE MARIE VELIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO61429060
Contact information
Practice address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234
Mailing address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61429060
WA
Other
Enumeration date
04/13/2023
Last updated
05/02/2023
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