Individual
DOMINIQUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4044 N LINCOLN AVE # 247, CHICAGO, IL 60618-3038
(630) 532-7188
Mailing address
4044 N LINCOLN AVE # 247, CHICAGO, IL 60618-3038
(630) 532-7188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
02/01/2024
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