JERRY DOMINIQUE

Counselor - Mental Health

Active Individual
NPI: 1407256860

Practice Address

787 PLEASANT ST
Henrico, VA 23075

Phone: (347) 742-7360

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1407256860 is the National Provider Identifier for JERRY DOMINIQUE, a Counselor - Mental Health provider located in Henrico, VA. This NPI was enumerated on September 3, 2014.
JERRY DOMINIQUE practices at 787 PLEASANT ST, Henrico, VA 23075.

Quick Facts

NPI
1407256860
Type
Individual
Enumerated
Sep 3, 2014
Last Updated
Sep 3, 2014

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