Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Marie Dominguez, LCPC, R-DMT, GL-CMA

Individual provider Professional Counselor · NPI 1518427731

Katie Marie Dominguez, LCPC, R-DMT, GL-CMA is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

7639 N Greenview Ave Apt 3W
Chicago, IL 60626-1291
Phone: (773) 373-9682
Fax: (773) 312-4876
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.013363 (IL)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1518427731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , R-DMT , GL-CMA
Sole proprietorYes
NPI enumeratedMarch 22, 2019
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

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