person
Latosha Domino, MED
Mental Health Counselor in Plaquemine, Louisiana
NPI 1275070484

Latosha Domino is a Mental Health Counselor based in Plaquemine, LA and is specialized in Mental Health. Latosha Domino practices in Plaquemine, LA and has the professional credentials of MED. The NPI Number for Latosha Domino is 1275070484 and holds a License No. (Louisiana).

The current practice location address for Latosha Domino is 58155 Chinn St, Plaquemine, LA and can be reached out via phone at 225-385-4543 and via fax at 866-825-9703.

Location: 58155 Chinn St, Plaquemine, LA, 70764-3601
person
Provider Profile Details
NPI Number
1275070484
Provider Name
Latosha Domino
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
58155 Chinn St, Plaquemine, LA, 70764-3601
Phone Number
225-385-4543
Fax Number
866-825-9703
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
58155 Chinn St
City
State
Zip
70764-3601
Phone Number
225-385-4543
Fax Number
866-825-9703
person
Provider Business Mailing Address Details
Address
58155 Chinn St
City
State
Zip
70764-3601
Phone Number
225-385-4543
Fax Number
866-825-9703
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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