Yahaira Garcia-Dominguez, LCPC
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1013501469
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1013501469
- Entity type
- Individual (NPI-1)
- Name
- Yahaira Garcia-Dominguez
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2021
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180014187 | IL | Yes |
| 101YP2500X | Counselor, Professional | 178016087 | IL |
Practice location
1409 W Irving Park RdChicago, IL 60613-1920
Phone 872-201-8326
Mailing address
1611 W Monroe StChicago, IL 60612-3717
Phone 872-444-0482
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