Luminescence Counseling Llc | |
1390 Oak St Ste 3 Eugene OR 97401-3567 | |
(541) 912-6842 | |
(541) 229-1263 |
Full Name | Luminescence Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 1390 Oak St Ste 3, Eugene, Oregon |
Authorized Official Name and Position | Kathryn Louise Gillespie (OWNER) |
Authorized Official Contact | 5419126842 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luminescence Counseling Llc 1110 W 27th Ave Eugene OR 97405-2235 Ph: (541) 912-6842 | Luminescence Counseling Llc 1390 Oak St Ste 3 Eugene OR 97401-3567 Ph: (541) 912-6842 |
NPI Number | 1912673732 |
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Provider Enumeration Date | 08/20/2021 |
Last Update Date | 09/24/2021 |
Certification Date | 09/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912673732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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