Dominique Russell, MA,LPC is a professional counselor in Gary, IN. Dominique Russell, MA,LPC NPI is 1043980139. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4520 W RIDGE RD LOT 214
GARY, IN
ZIP 46408-333
Phone: (312) 632-0460
The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/22/2021.