Tavernier, Dominique M

Tavernier, Dominique M is an individual health care provider with primary practice located at 8000 E Prentice Ave D12, Greenwood Village CO 80111-2759. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Tavernier, Dominique M can be contacted via phone (303) 654-2555.

Contact Information

Primary practice address
8000 E Prentice Ave D12 Greenwood Village CO 80111-2759
Phone: (303) 654-2555
Fax: (303) 779-7982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 183 Colorado

Profile Details

NPI number 1255443552
LBN Legal business name Tavernier, Dominique M
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1255443552 NPPES
Colorado Other 183 PROFESSIONAL LICENSE LMFT

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