Individual
DOMINQUE MURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6713 KINGERY HWY, WILLOWBROOK, IL 60527-5142
(773) 234-0423
Mailing address
6925 LEXINGTON CT, TINLEY PARK, IL 60477-1670
(813) 541-2796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.017485
IL
101YM0800X
Mental Health Counselor
Primary
178.017485
IL
Other
Enumeration date
11/24/2021
Last updated
11/17/2023
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