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NPI Code Detail

MEDICARE: DOMINIQUE HOLMES LMFTA

MEDICARE: DOMINIQUE HOLMES LMFTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor10037ANC

General Provider Information

NPI Number : 1427827526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIQUE HOLMES LMFTA
Provider Business Mailing Address
First Line : 851 DURHAM RD STE B
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-3301
Country : US
Telephone Number : 919-891-0529
Fax Number :
Provider Business Practice Location Address
First Line : 851 DURHAM RD STE B
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-3301
Country : US
Telephone Number : 919-891-0529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2023
Last Update Date : 12/29/2023

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Directions to “ DOMINIQUE HOLMES LMFTA” Practice Location

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