Moving Mosaic Therapy & Counseling, Pllc
NPI #1093474652 in North Riverside, Illinois
Provider Information
- NPI Number
- 1093474652
- Entity Type
- Organization
- Organization Name
- Moving Mosaic Therapy & Counseling, Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 10, 2021
- Last Updated
- Oct 2, 2023
Practice Location
- Address
- 2232 S 18TH AVE
- City
- North Riverside
- State
- Illinois
- ZIP Code
- 60546-1014
- Phone
- (773) 373-9682
Authorized Official
- Name
- KATIE MARIE DOMINGUEZ, MA, LCPC
- Title
- CO-FOUNDER/PSYCHOTHERAPIST
- Phone
- (773) 373-9682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Dance Therapist |
| Counselor - Professional — Professional |
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