Individual provider · Type 1 NPI
Dominique Dijkhuizen, LCSW
Adult Mental Health Clinic/Center · Southern Pines, NC
NPI number
1689148397
Active
Practice location
101 Lanark Trl
Southern Pines, NC 28387-7513
Mailing address
216 Commerce Ave # 189
Southern Pines, NC 28387-7059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 1689148397 (CO) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
About NPI 1689148397
Dominique Dijkhuizen, LCSW's National Provider Identifier is 1689148397, issued on Jan 15, 2019. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Southern Pines, NC. The record was last updated on Jun 6, 2022.