Individual
DOMINIQUE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3801 ULLOA ST, NEW ORLEANS, LA 70119-6940
(504) 267-5712
Mailing address
3801 ULLOA ST, NEW ORLEANS, LA 70119-6940
(504) 267-5712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/23/2015
Last updated
05/08/2025
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