Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE FORSMAN
Active Sole ProprietorDOMINIQUE FORSMAN is a Mental Health Counselor healthcare provider located in CHURCHTON, Maryland. NPI 1972321180 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CHURCHTON, MD
Registration Details
- NPI Number
- 1972321180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2024 (1.9142955792828 yrs)
- Last Updated
- Sep 27, 2024
- Licenses
-
LGP15666 (MD)LGP15666 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5419 DEALE CHURCHTON RD STE 104CHURCHTON, MD, 207332408Browse MD providers · Browse ZIP 20733
- Phone
- 4105416686
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
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.