Individual
DOMONIQUE DESHIELDS
Active
Individual
DOMONIQUE DESHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPCMH, LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC-0011050
DE
101YP2500X
Professional Counselor
Primary
7305
TN
101YP2500X
Professional Counselor
9542
LA
Other
Enumeration date
09/15/2019
Last updated
07/18/2025
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