Individual provider · Type 1 NPI
Dominique Davis-Warner, LPC
Professional Counselor · Carbondale, IL
NPI number
1043696982
Active
Practice location
1337B Springer Ridge Rd
Carbondale, IL 62902-7902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178010889 (IL) |
Professional Counselor: Definition to come...
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About NPI 1043696982
Dominique Davis-Warner, LPC's National Provider Identifier is 1043696982, issued on Aug 3, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Carbondale, IL. The record was last updated on Aug 3, 2015.