Individual
DOMINIQUE MAREE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 274-5628
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
(541) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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