Individual
DR. DOMINIQUE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 BRADLEY PARK DR STE 500-240, COLUMBUS, GA 31904-3620
(706) 325-2855
Mailing address
1639 BRADLEY PARK DR STE 500-240, COLUMBUS, GA 31904-3620
(706) 325-2855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015611
GA
101YS0200X
School Counselor
1635570
GA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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