Individual
DOMINIC POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455
(612) 625-8400
(612) 677-3211
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-8400
(612) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1096
MN
Other
Enumeration date
09/06/2017
Last updated
07/24/2025
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