Individual
DOMINIQUE DAVIS-WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1337B SPRINGER RIDGE RD, CARBONDALE, IL 62902-7902
(601) 415-2313
Mailing address
1337B SPRINGER RIDGE RD, CARBONDALE, IL 62902-7902
(601) 415-2313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178010889
IL
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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