Individual
DOMINIQUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
3511 YOUREE DR, SHREVEPORT, LA 71105-2119
(318) 861-8938
Mailing address
8100 PINES RD APT 18F, SHREVEPORT, LA 71129-4453
(318) 759-9350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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