SearchIllinoisProfessional Counselor

Dominique Wilson, MA, LCPC, CRC

NPI 1407345192 · on the registry since 2018 · sole proprietor

Practice

Address
785 Wall St # 200
O Fallon, IL 62269
Phone
(618) 367-2194
Organisation at this address
Transformative Beginnings, Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 3550 W Cheyenne Ave, North Las Vegas, NV

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Also registered as
Counselor
Mental Health Counselor
Licence states on file
NV, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-11

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