person
Dominique Ivory
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1144982893

Dominique Ivory is a Mental Health Counselor based in Baton Rouge, LA and is specialized in Mental Health. Dominique Ivory practices in Baton Rouge, LA. The NPI Number for Dominique Ivory is 1144982893 and holds a License No. (Louisiana).

The current practice location address for Dominique Ivory is 11861 Coursey Blvd, Baton Rouge, LA and can be reached out via phone at 225-612-8656 and via fax at 225-341-8774.

Location: 11861 Coursey Blvd, Baton Rouge, LA, 70816-4404
person
Provider Profile Details
NPI Number
1144982893
Provider Name
Dominique Ivory
Credential
Provider Entity Type
Individual
Gender
Female
Address
11861 Coursey Blvd, Baton Rouge, LA, 70816-4404
Phone Number
225-612-8656
Fax Number
225-341-8774
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11861 Coursey Blvd
City
State
Zip
70816-4404
Phone Number
225-612-8656
Fax Number
225-341-8774
person
Provider Business Mailing Address Details
Address
11861 Coursey Blvd
City
State
Zip
70816-4404
Phone Number
225-612-8656
Fax Number
225-341-8774
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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