| Domenica Doro, | |
|
475 W Terra Cotta Ave Ste E, Crystal Lake, IL 60014-3407 | |
| (815) 707-4806 | |
| Not Available |
| Full Name | Domenica Doro |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 475 W Terra Cotta Ave Ste E, Crystal Lake, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194485722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.016997 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Center For Courageous Living Llc | 7113350612 | 6 |
| Entity Name | The Center for Courageous Living LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457842460 PECOS PAC ID: 7113350612 Enrollment ID: O20191213000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Domenica Doro, 2821 Forestview Ct, Carpentersville, IL 60110-3378 Ph: (920) 366-2934 | Domenica Doro, 475 W Terra Cotta Ave Ste E, Crystal Lake, IL 60014-3407 Ph: (815) 707-4806 |
Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517 |
Jorge Roman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104 |
Ms. Stacey A Coleman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079 |
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115 |
Simona Atanassova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Dr, Crystal Lake, IL 60014 Phone: 815-477-4727 |
Michelle Marie Delarosa, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 377 W Virginia St, Crystal Lake, IL 60014 Phone: 815-707-4806 |
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979 |