KATIE MARIE DOMINGUEZ

CHICAGO, IL
NPI1518427731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180.013363)
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2019-03-22
Last Update Date2022-09-09
Business Address
KATIE MARIE DOMINGUEZ LCPC, R-DMT, GL-CMA
7639 N GREENVIEW AVE APT 3W
CHICAGO, IL 60626-1291
Phone number: 773-373-9682
Mailing Address
KATIE MARIE DOMINGUEZ LCPC, R-DMT, GL-CMA
7639 N GREENVIEW AVE APT 3W
CHICAGO, IL 60626-1291
Phone number: 773-373-9682