Leblanc, Domonique

Leblanc, Domonique is an individual health care provider with primary practice located at 2200 Veterans Memorial Blvd , Kenner LA 70062-4001. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Leblanc, Domonique can be contacted via phone (504) 305-4704.

Contact Information

Primary practice address
2200 Veterans Memorial Blvd Kenner LA 70062-4001
Phone: (504) 305-4704
Fax: (504) 305-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1346610318
LBN Legal business name Leblanc, Domonique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Oct 2nd, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346610318 NPPES
Louisiana MEDICAID 0000000000000

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