Individual
JERRY DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
787 PLEASANT ST, HENRICO, VA 23075-1235
(347) 742-7360
Mailing address
787 PLEASANT ST, HENRICO, VA 23075-1235
(347) 742-7360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us