Individual provider · Type 1 NPI

Domonique Nicole Brown

Mental Health Counselor · Greenwell Springs, LA

NPI number 1063982890 Active

Practice location

6685 Sullivan Rd
Greenwell Springs, LA 70739-3112

Mailing address

6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063982890

Domonique Nicole Brown's National Provider Identifier is 1063982890, issued on Dec 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwell Springs, LA. The record was last updated on Dec 5, 2018.