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Mrs. Dominique Dijkhuizen, LCSW
Adult Mental Health Clinic/Center in Southern Pines, North Carolina
NPI 1689148397

Dominique Dijkhuizen is an Adult Mental Health Clinic/Center based in Southern Pines, NC and is specialized in Adult Mental Health. Dominique Dijkhuizen practices in Southern Pines, NC and has the professional credentials of LCSW. The NPI Number for Dominique Dijkhuizen is 1689148397 and holds a License No. 1689148397 (North Carolina).

The current practice location address for Dominique Dijkhuizen is 101 Lanark Trl, Southern Pines, NC and can be reached out via phone at 719-270-1722.

Location: 101 Lanark Trl, Southern Pines, NC, 28387-7059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689148397
Provider Name
Dominique Dijkhuizen
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
101 Lanark Trl, Southern Pines, NC, 28387-7059
Phone Number
719-270-1722
Fax Number
Provider Enumeration Date
01/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Lanark Trl
City
Southern Pines
State
North Carolina
Zip
28387-7513
Phone Number
719-270-1722
Fax Number
person
Provider Business Mailing Address Details
Address
101 Lanark Trl
City
Southern Pines
State
North Carolina
Zip
28387-7513
Phone Number
719-270-1722
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
1689148397 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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