Search › Michigan › Addiction (Substance Use Disorder) Counselor
Dominique Phua
NPI 1053784413 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1115 Ball Ave Ne
Grand Rapids, MI 49505 - Phone
- (616) 459-7215
- Organisation at this address
- Arbor Circle Corporation
Arbor Circle CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 363
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan