Driessen Espana, Dominique
Driessen Espana, Dominique is an individual health care provider with primary practice located at 7370 Memorial Drive Suite E-10, Savannah GA 31406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Driessen Espana, Dominique can be contacted via phone (843) 422-5290.Contact Information
Primary practice address
7370 Memorial Drive Suite E-10
Savannah GA 31406
Phone: (843) 422-5290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2010-R | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 006663 | Georgia |
Profile Details
| NPI number | 1598036600 |
|---|---|
| LBN Legal business name | Driessen Espana, Dominique |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2012 |
| Last updated | Nov 25th, 2022 - about 4 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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