Provider Demographics
NPI:1366323768
Name:COLE, DOMINIQUE N (LAMFT, BS, CLC, CPC)
Entity type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:N
Last Name:COLE
Suffix:
Gender:F
Credentials:LAMFT, BS, CLC, CPC
Other - Prefix:
Other - First Name:DOMINIQUE
Other - Middle Name:N
Other - Last Name:VINCENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAMFT, BS, CLC, CPC
Mailing Address - Street 1:148 PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:HIGHTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-4323
Mailing Address - Country:US
Mailing Address - Phone:908-279-6705
Mailing Address - Fax:
Practice Address - Street 1:1550 PARK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5565
Practice Address - Country:US
Practice Address - Phone:908-279-6705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00058100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist