Dominique Ivory
Dominique Ivory is a Mental Health Counselor in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.
- Licensed in
- LA
- In the registry since
- 2021
Practice location Address checks out
11861 Coursey BlvdBaton Rouge, LA 70816-4404
Phone: (225) 612-8656
Fax: (225) 341-8774
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (LA) |
|---|
Record details
| NPI number | 1144982893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 11, 2021 |
| Last updated in NPPES | October 11, 2021 |
| Certification date | October 11, 2021 |
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