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Alycia Dominion
NPI 1215792148 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1400 W Randolph St Unit 608
Chicago, IL 60607 - Phone
- (269) 470-1760
- Organisation at this address
- Lavender Moon Self Illuminating Counseling Services Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Female
- Record last updated
- 2024-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois