Individual
MONIQUE DOMINGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BLP
Contact information
Practice address
10941 KINNEIL RD, NEW ORLEANS, LA 70127-1859
(504) 296-7528
Mailing address
10941 KINNEIL RD, NEW ORLEANS, LA 70127-1859
(504) 296-7528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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