Luminescence Counseling Llc | |
300 N Washington St Ste 607 Alexandria VA 22314-2544 | |
(713) 933-8903 | |
Not Available |
Full Name | Luminescence Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 300 N Washington St Ste 607, Alexandria, Virginia |
Authorized Official Name and Position | Faiza Omer Jackson (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7139338903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luminescence Counseling Llc 7644 Audubon Meadow Way Alexandria VA 22306-2277 Ph: (713) 933-8903 | Luminescence Counseling Llc 300 N Washington St Ste 607 Alexandria VA 22314-2544 Ph: (713) 933-8903 |
NPI Number | 1992267454 |
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Provider Enumeration Date | 04/03/2019 |
Last Update Date | 04/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992267454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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