Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DOMINIQUE DIJKHUIZEN, LCSW
Active Sole ProprietorAdult Mental Health Clinic · SOUTHERN PINES, NC
Registration Details
- NPI Number
- 1689148397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2019 (7.2643381258948 yrs)
- Last Updated
- Jun 6, 2022
- License
-
1689148397 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 LANARK TRLSOUTHERN PINES, NC, 283877513Browse NC providers · Browse ZIP 28387
- Phone
- 7192701722
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.