person
Dominique Ellison
Mental Health Counselor in Shreveport, Louisiana
NPI 1144754482

Dominique Ellison is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Dominique Ellison practices in Shreveport, LA. The NPI Number for Dominique Ellison is 1144754482 and holds a License No. (Louisiana).

The current practice location address for Dominique Ellison is 301 Dalzell St, Shreveport, LA and can be reached out via phone at 318-200-9156.

Location: 301 Dalzell St, Shreveport, LA, 71104-2431
person
Provider Profile Details
NPI Number
1144754482
Provider Name
Dominique Ellison
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Dalzell St, Shreveport, LA, 71104-2431
Phone Number
318-200-9156
Fax Number
Provider Enumeration Date
04/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Dalzell St
City
State
Zip
71104-2431
Phone Number
318-200-9156
Fax Number
person
Provider Business Mailing Address Details
Address
301 Dalzell St
City
State
Zip
71104-2431
Phone Number
318-200-9156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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