Individual provider · Type 1 NPI

Dominique Common

Counselor · Ellisville, MS

NPI number 1487382958 Active

Practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Call (601) 649-7921 Map

Fax (601) 649-7939

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X5506 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

40 other providers at this address

Other counselor providers in Ellisville

See all in Ellisville →

About NPI 1487382958

Dominique Common's National Provider Identifier is 1487382958, issued on Aug 11, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ellisville, MS. The record was last updated on Aug 11, 2022.