DOMINIQUE AMESCUA

AUSTIN, TX
NPI1811232754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  56594)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17559)
Enumeration Date2012-12-04
Last Update Date2012-12-04
Business Address
Mrs. DOMINIQUE AMESCUA LMSW, CI
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8665
Mailing Address
Mrs. DOMINIQUE AMESCUA LMSW, CI
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8665