Individual
DOMINIQUE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
12102 CLEAR CREEK DR, FORT WASHINGTON, MD 20744-2758
(301) 597-9272
Mailing address
120 WATERFRONT ST STE 420, NATIONAL HARBOR, MD 20745-1122
(301) 597-9272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC15516
MD
Other
Enumeration date
08/28/2018
Last updated
09/30/2024
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