Deshields, Domonique R

Deshields, Domonique R is an individual health care provider with primary practice located at 990 Villa St , Mountain View CA 94041-1236. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Deshields, Domonique R can be contacted via phone (888) 688-9296.

Contact Information

Primary practice address
990 Villa St Mountain View CA 94041-1236
Phone: (888) 688-9296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC-0011050 Delaware
Behavioral Health & Social Service Providers / Professional 101YP2500X 9542 Louisiana

Profile Details

NPI number 1932759677
LBN Legal business name Deshields, Domonique R
Credentials LPC, LPCMH, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2019
Last updated Apr 26th, 2023 - about 2 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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