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
Fax: (630) 487-2411
Website:

Health care specialties

SpecialtyCodeLicense #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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