Dominique Jackson
Dominique Jackson is a Marriage & Family Therapist in Lakeville, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
17685 Juniper Path Ste 303Lakeville, MN 55044-9821
Phone: (952) 214-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1376384065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2024 |
| Last updated in NPPES | June 5, 2024 |
| Certification date | June 4, 2024 |
| Mailing address | 1032 Stone Creek Dr, Jordan, MN 55352-4577 |
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