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Individual

NIKOLE L DOMINIQUE-MAIKELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1799 STUMPF BLVD, BUILDING 2 SUITE 5, TERRYTOWN, LA 70056-4828
(504) 233-2295
Mailing address
1799 STUMPF BLVD, BUILDING 2 SUITE 5, TERRYTOWN, LA 70056-4828
(504) 233-2295

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1369
LA

Other

Enumeration date
04/14/2019
Last updated
02/08/2022
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