Individual
MRS. DOMINIQUE LINDSEN REISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, APCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC4793
CA
Other
Enumeration date
05/05/2014
Last updated
02/14/2018
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