Individual provider · Type 1 NPI

Dominique Marie Smith, BS

Mental Health Counselor · Dekalb, IL

NPI number 1407401086 Active

Practice location

631 S 1st St
Dekalb, IL 60115-4117

Call (815) 756-8501 Map

Mailing address

PO Box 1109
Dekalb, IL 60115-7109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407401086

Dominique Marie Smith, BS's National Provider Identifier is 1407401086, issued on Aug 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dekalb, IL. The record was last updated on Aug 9, 2019.