Amescua, Dominique

Amescua, Dominique is an individual health care provider with primary practice located at 8402 Cross Park Dr , Austin TX 78754-4595. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Amescua, Dominique can be contacted via phone (512) 697-8665.

Contact Information

Primary practice address
8402 Cross Park Dr Austin TX 78754-4595
Phone: (512) 697-8665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17559 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 56594 Texas

Profile Details

NPI number 1811232754
LBN Legal business name Amescua, Dominique
Credentials LMSW, CI
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2012
Last updated Dec 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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