Individual
DOMMINIQUE ANDREA KINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
313 N MATTIS AVE STE 209, CHAMPAIGN, IL 61821-2461
(217) 377-0299
Mailing address
200 S VINE ST UNIT 112, URBANA, IL 61802-3323
(217) 721-5929
(217) 721-5929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.021280
IL
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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