DOMINIQUE SIMONE RUSSELL Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180016118

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

SIMONE

Last Name

RUSSELL

Business Name

DOMINIQUE SIMONE RUSSELL

Original Issue Date

05/24/2024

Effective Date

03/21/2025

Expiration Date

03/31/2027

City

INTERLACHEN

State

Zip

32148

Ever Disciplined

LastModifiedDate

05/27/2025