Individual
MR. DOMINIQUE ALEXANDER JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
53 W JACKSON BLVD STE 231, CHICAGO, IL 60604-3670
(804) 678-8502
Mailing address
5534 N KENMORE AVE APT 507, CHICAGO, IL 60640-1549
(804) 678-8502
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018757
IL
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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