Dominique Wilson
Dominique Wilson is a Mental Health Counselor in Chisago City, Minnesota. Qualified in 2010, 16 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 16
- In the registry since
- 2022
Practice location Address checks out
11185 Lake Blvd Ste 205Chisago City, MN 55013-9814
Phone: (952) 228-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1083369490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2022 |
| Last updated in NPPES | February 14, 2022 |
| Certification date | February 14, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Fairview Express Care — 1964 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Colleagues at Fairview Express Care
- Stuart Kevin Amateau, MD, PHD Gastroenterology Physician · Minneapolis, MN
- Sara R Belshan Gerontology Nurse Practitioner · Minneapolis, MN
- Joshua Alan Bodie, MD Urology Physician · Milwaukee, WI
- Dr. Wolfgang B. Gaertner, MS, MD Colon & Rectal Surgery Physician · Minneapolis, MN
- Kristine L Johnson, OD Optometrist · Burnsville, MN
- Dr. Ioana Moisini, MD, PHD Anatomic Pathology & Clinical Pathology Physician · Burnsville, MN
- Mrs. Sara Parizek, MA, LMFT Marriage & Family Therapist · Cambridge, MN
- Parisa Salehi, MD Physical Medicine & Rehabilitation Physician · Minneapolis, MN
- Justin L Seningen, MD Student in an Organized Health Care Education/Training Program · Robbinsdale, MN
- Gennadiy Vasilyevich Shevchenko, MD Neurology Physician · Minneapolis, MN
- Emily Stempien, PA-C Physician Assistant · Minneapolis, MN
- Mr. Michael J Wangsness, DPT, ATC Physical Therapist · New Richmond, WI
Other providers in Chisago City
-
Dana Marie Andersen
26190 Lofton Ave, Chisago City, MN 55013-7417 · (612) 412-0453