NPI | 1912673732 |
---|---|
Doing Business As | LUMINESCENCE COUNSELING LLC |
Entity Type | Organization |
Authorized Contact | KATHRYN LOUISE GILLESPIE Owner 541-912-6842 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-08-20 |
Last Update Date | 2021-09-24 |