Individual
DOMINIQUE CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
19901 W CATAWBA AVE STE 102, CORNELIUS, NC 28031-4040
(804) 613-4812
Mailing address
5306 FOX COVE LN APT D, GREENSBORO, NC 27407-5973
(984) 244-1695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18326
NC
101YM0800X
Mental Health Counselor
Primary
A18326
NC
Other
Enumeration date
01/30/2023
Last updated
02/20/2026
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