Individual provider · Type 1 NPI
Jerry Dominique
Mental Health Counselor · Henrico, VA
NPI number
1407256860
Active
Practice location
787 Pleasant St
Henrico, VA 23075-1235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407256860
Jerry Dominique's National Provider Identifier is 1407256860, issued on Sep 3, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Henrico, VA. The record was last updated on Sep 3, 2014.