Search › Illinois › 101YM0800X
Katie Dominguez, LCPC, R-DMT, GL-CMA
NPI 1518427731 · on the registry since 2019 · sole proprietor
Practice
- Address
- 7639 N Greenview Ave Apt 3w
Chicago, IL 60626 - Phone
- (773) 373-9682
- Fax
- (773) 312-4876
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-09
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