Mcintosh, Dominique
Mcintosh, Dominique is an sole proprietor health care provider with primary practice located at 211 Broad St Ste 207 , Red Bank NJ 07701-2009. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mcintosh, Dominique can be contacted via phone (630) 974-6602.Contact Information
Primary practice address
211 Broad St Ste 207
Red Bank NJ 07701-2009
Phone: (630) 974-6602
Fax: (630) 487-2411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 37AC00736900 | New Jersey |
Profile Details
NPI number | 1861272643 |
---|---|
LBN Legal business name | Mcintosh, Dominique |
Credentials | ASSOCIATE COUNSELOR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2023 |
Last updated | Sep 29th, 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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