person
Dominique Marie Smith, BS
Mental Health Counselor in Dekalb, Illinois
NPI 1407401086

Dominique Marie Smith is a Mental Health Counselor based in Dekalb, IL and is specialized in Mental Health. Dominique Marie Smith practices in Dekalb, IL and has the professional credentials of BS. The NPI Number for Dominique Marie Smith is 1407401086 and holds a License No. (Illinois).

The current practice location address for Dominique Marie Smith is 631 S 1St St, Dekalb, IL and can be reached out via phone at 815-756-8501.

Location: 631 S 1St St, Dekalb, IL, 60115-7109
person
Provider Profile Details
NPI Number
1407401086
Provider Name
Dominique Marie Smith
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
631 S 1St St, Dekalb, IL, 60115-7109
Phone Number
815-756-8501
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474579189001 05 IL
institution
Provider Business Practice Location Address Details
Address
631 S 1St St
City
State
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
person
Provider Business Mailing Address Details
Address
631 S 1St St
City
State
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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