Individual
DOMINIQUE DENA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
505 N BELTWAY 8 STE 264E, HOUSTON, TX 77060-4059
(281) 656-1160
Mailing address
9494 HUMBLE WESTFIELD RD APT 3024, HUMBLE, TX 77338-5294
(832) 878-3483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
79453
—
101YM0800X
Mental Health Counselor
Primary
79453
TX
Other
Enumeration date
10/29/2019
Last updated
08/09/2021
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