Dominique, Carlah

Dominique, Carlah is an individual health care provider with primary practice located at 670 Route 1 N , Iselin NJ 08830-2629. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dominique, Carlah can be contacted via phone (732) 510-1140.

Contact Information

Primary practice address
670 Route 1 N Iselin NJ 08830-2629
Phone: (732) 510-1140
Fax: (732) 218-9749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00320100 New Jersey

Profile Details

NPI number 1770190043
LBN Legal business name Dominique, Carlah
Credentials LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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