Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique David

Individual provider Professional Counselor · NPI 1649637604

Dominique David is a Mental Health Counselor in Salem, Alabama. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3000 Lee Road 279
Salem, AL 36874-4776
Phone: (706) 617-4315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012370 (GA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1649637604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2016
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address3000 Lee Road 279, Salem, AL 36874-4776

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Salem