NICHOLAS GLEN DOMINIQUE

SEATTLE, WA
NPI1811469463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-12-20
Last Update Date2019-07-16
Business Address
NICHOLAS GLEN DOMINIQUE
222 WALL ST # 100
SEATTLE, WA 98121-1431
Phone number: 206-441-3043
Mailing Address
NICHOLAS GLEN DOMINIQUE
222 WALL ST # 100
SEATTLE, WA 98121-1431
Phone number: