NPI 1134699655 · live from the CMS NPI Registry
Dominique N Branch
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1134699655, active.
NPI record
| NPI | 1134699655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 25 E Washington St Ste 1718, Chicago, IL 60602 |
| Practice phone | 312-566-8536 |
| Mailing address | 212 E Cullerton St Apt 1101, Chicago, IL 60616 |
| Enumerated | November 27, 2018 |
| Last updated | June 12, 2025 |
| Sole proprietor | No |
| Other names | Dominique Walker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166.001893 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.