Whalio Doctors

NPI 1003111527

Sarah Jane Domke, MALPC

Practitioner Mental Health Counselor Clinton Township, MI

Practice location

Address
19800 Hall Rd, Clinton Township, MI 48038-5318
Phone
(586) 948-0222
Mailing address
19800 Hall Rd, Clinton Twp, MI 48038-5318

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 6401018907 (MI)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401011423 (MI)

Registry record

NPI
1003111527
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Jan 2011
Record last updated
18 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.