Individual provider · Type 1 NPI

Dominique Ivory

Mental Health Counselor · Baton Rouge, LA

NPI number 1144982893 Active

Practice location

11861 Coursey Blvd
Baton Rouge, LA 70816-4404

Fax (225) 341-8774

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144982893

Dominique Ivory's National Provider Identifier is 1144982893, issued on Oct 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 11, 2021.