Individual ProviderDominique James WalkerCounselorBehavioral Health & Social Service ProvidersPractice Address1333 N Buffalo Dr Ste 25, Las Vegas, NV 89128-3634(702) 354-0017PECOS EnrollmentBased on the most recent information from CMS, provider Dominique James Walker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831515428Provider TypeIndividualFull NameWalker, Dominique JamesGenderMaleSole ProprietorYesEnumeration Date3/7/2014Last Updated3/7/2014Contact InformationPractice LocationPractice Address1333 N Buffalo Dr Ste 25, Las Vegas, NV 89128-3634Phone(702) 354-0017FaxUnlisted FaxMailing LocationMailing Address1333 N Buffalo Dr Ste 25, Las Vegas, NV 89128-3634PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense20111675665Nevada