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Dominique Padmore, LMHC
Student in an Organized Health Care Education/Training Program in West Babylon, New York
NPI 1871982587

Dominique Padmore is a Student in an Organized Health Care Education/Training Program based in West Babylon, NY. Dominique Padmore practices in West Babylon, NY and has the professional credentials of LMHC. The NPI Number for Dominique Padmore is 1871982587 and holds a License No. 008894 (New York).

The current practice location address for Dominique Padmore is 609 Route 109, West Babylon, NY and can be reached out via phone at 631-256-7461.

Location: 609 Route 109, West Babylon, NY, 11704-5068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871982587
Provider Name
Dominique Padmore
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
609 Route 109, West Babylon, NY, 11704-5068
Phone Number
631-256-7461
Fax Number
Provider Enumeration Date
01/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 Route 109
City
West Babylon
State
New York
Zip
11704-5068
Phone Number
631-256-7461
Fax Number
person
Provider Business Mailing Address Details
Address
609 Route 109
City
West Babylon
State
New York
Zip
11704-5068
Phone Number
631-256-7461
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
912324655 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
008894 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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