Individual
DOMINIQUE A LEGREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1538 LOUISIANA AVE, NEW ORLEANS, LA 70115-3553
(504) 896-2345
(504) 896-2240
Mailing address
1050 S JEFFERSON DAVIS PKWY, 224, NEW ORLEANS, LA 70125-1200
(504) 826-5206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
07/30/2021
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