Dominique Padmore, LMHC
NPI #1871982587 in West Babylon, New York
Provider Information
- NPI Number
- 1871982587
- Entity Type
- Individual
- Name
- Dominique Padmore, LMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC
- Enumeration Date
- Jan 19, 2015
- Last Updated
- Mar 23, 2020
Practice Location
- Address
- 609 ROUTE 109
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-5068
- Phone
- (631) 256-7461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Student in an Organized Health Care Education/Training Program |
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