Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Dietz

Individual provider Mental Health Counselor · NPI 1790325801

Dominique Dietz is a Mental Health Counselor in Alton, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2615 Edwards St
Alton, IL 62002-3915
Phone: (618) 462-2331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790325801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

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