Individual
DOMINIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 BETTY LN UNIT 115, LAS VEGAS, NV 89156-5615
(702) 488-4275
Mailing address
2050 BETTY LN UNIT 115, LAS VEGAS, NV 89156-5615
(702) 488-4275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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