Individual
DOMINIQUE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATE COUNSELOR
Contact information
Practice address
211 BROAD ST STE 207, RED BANK, NJ 07701-2009
(630) 974-6602
(630) 487-2411
Mailing address
1100 JORIE BLVD STE 300, OAK BROOK, IL 60523-2219
(630) 974-6602
(630) 487-2411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00736900
NJ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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