Individual
DOMINIQUE MERIA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9414 THREE RIVERS RD STE 3, GULFPORT, MS 39503-3861
(228) 305-0469
Mailing address
9116 CLEO SMITH RD, PASS CHRISTIAN, MS 39571-8529
(228) 363-5637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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