person
Dominique Davis-warner, LPC
Professional Counselor in Carbondale, Illinois
NPI 1043696982

Dominique Davis-warner is a Professional Counselor based in Carbondale, IL and is specialized in Professional. Dominique Davis-warner practices in Carbondale, IL and has the professional credentials of LPC. The NPI Number for Dominique Davis-warner is 1043696982 and holds a License No. 178010889 (Illinois).

The current practice location address for Dominique Davis-warner is 1337B Springer Ridge Rd, Carbondale, IL and can be reached out via phone at 601-415-2313.

Location: 1337B Springer Ridge Rd, Carbondale, IL, 62902-7902
person
Provider Profile Details
NPI Number
1043696982
Provider Name
Dominique Davis-warner
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1337B Springer Ridge Rd, Carbondale, IL, 62902-7902
Phone Number
601-415-2313
Fax Number
Provider Enumeration Date
08/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1337B Springer Ridge Rd
City
State
Zip
62902-7902
Phone Number
601-415-2313
Fax Number
person
Provider Business Mailing Address Details
Address
1337B Springer Ridge Rd
City
State
Zip
62902-7902
Phone Number
601-415-2313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178010889 (Illinois)
Definition
Definition to come...
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