Dominique Davis-Warner, LPC
NPI #1043696982 in Carbondale, Illinois
Provider Information
- NPI Number
- 1043696982
- Entity Type
- Individual
- Name
- Dominique Davis-Warner, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 3, 2015
- Last Updated
- Aug 3, 2015
Practice Location
- Address
- 1337B SPRINGER RIDGE RD
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62902-7902
- Phone
- (601) 415-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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