Individual
MRS. DOMINIQUE M TAVERNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8000 E PRENTICE AVE, D12, GREENWOOD VILLAGE, CO 80111-2759
(303) 654-2555
(303) 779-7982
Mailing address
8000 E PRENTICE AVE, D12, GREENWOOD VILLAGE, CO 80111-2759
(303) 654-2555
(303) 779-7982
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
183
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183
PROFESSIONAL LICENSE LMFT
CO
Enumeration date
08/31/2006
Last updated
07/08/2007
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