Individual provider · Type 1 NPI

Domonique Street

Mental Health Counselor · Westampton, NJ

NPI number 1760892376 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Call (609) 267-5928 Map

Mailing address

770 Woodlane Road
Mount Holly, NJ 08060

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 1760892376

Domonique Street's National Provider Identifier is 1760892376, issued on May 5, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on May 5, 2014.