Individual
DOMINIQUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 S WASHINGTON ST, NAPERVILLE, IL 60565-1368
(630) 625-8494
Mailing address
2011 S WASHINGTON ST, NAPERVILLE, IL 60565-1368
(630) 625-8494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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