Henderson, Dominique

Henderson, Dominique is an individual health care provider with primary practice located at 209 W Jefferson Ave , Bastrop LA 71220-4543. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Henderson, Dominique can be contacted via phone (318) 239-3890.

Contact Information

Primary practice address
209 W Jefferson Ave Bastrop LA 71220-4543
Phone: (318) 239-3890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1780138230
LBN Legal business name Henderson, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 9 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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