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Mark Dominique, PHARMD,LCSW
Pharmacist in Hampden, Maine
NPI 1831423201

Mark Dominique is a Pharmacist based in Hampden, ME. Mark Dominique practices in Hampden, ME and has the professional credentials of PHARMD,LCSW. The NPI Number for Mark Dominique is 1831423201 and holds a License No. LC12200 (Maine).

The current practice location address for Mark Dominique is 65 Western Ave, Hampden, ME and can be reached out via phone at 207-862-4900.

Location: 65 Western Ave, Hampden, ME, 04444-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831423201
Provider Name
Mark Dominique
Credential
PHARMD,LCSW
Provider Entity Type
Individual
Gender
Male
Address
65 Western Ave, Hampden, ME, 04444-1423
Phone Number
207-862-4900
Fax Number
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
65 Western Ave
City
Hampden
State
Maine
Zip
04444-1423
Phone Number
207-862-4900
Fax Number
person
Provider Business Mailing Address Details
Address
65 Western Ave
City
Hampden
State
Maine
Zip
04444-1423
Phone Number
207-862-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
PR6065 (Maine)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
LC12200 (Maine)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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