Dompereh, Jacqueline

Dompereh, Jacqueline is an individual health care provider with primary practice located at 5680 King Centre Dr Ste 600 , Alexandria VA 22315-5755. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Health Educator, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dompereh, Jacqueline can be contacted via phone (703) 647-3826.

Contact Information

Primary practice address
5680 King Centre Dr Ste 600 Alexandria VA 22315-5755
Phone: (703) 647-3826
Fax: (703) 546-0840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1417454364
LBN Legal business name Dompereh, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2018
Last updated Apr 8th, 2018 - about 6 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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