National Provider Identifier
Dominique Marie Walkowiak, LMHC
Dominique Marie Walkowiak, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 245-4443.
Profile Overview
- NPI
- 1285938019
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 09, 2011
- Last Updated
- September 09, 2024
Practice Location
- 897 Delaware Ave Ste 209
- Buffalo, NY 14209-2087
Phone: (716) 245-4443
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1285938019
- Entity Type
- Individual
- Last Name
- Walkowiak
- First Name
- Dominique
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LMHC
- Provider Other Last Name
- Cellini
- Provider Other First Name
- Dominique
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LMHC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 897 Delaware Ave Ste 209
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2087
- Mailing Country
- US
- Mailing Phone
- (716) 245-4443
- Practice Street Address
- 897 Delaware Ave Ste 209
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2087
- Practice Country
- US
- Practice Phone
- (716) 245-4443
- Enumeration Date
- January 09, 2011
- Last Updated
- September 09, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)