Illumination Counseling Services, LLC
NPI #1013566454 in Malvern, Pennsylvania
Provider Information
- NPI Number
- 1013566454
- Entity Type
- Organization
- Organization Name
- Illumination Counseling Services, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 9, 2019
- Last Updated
- Sep 9, 2019
Practice Location
- Address
- 5 GREAT VALLEY PKWY STE 210
- City
- Malvern
- State
- Pennsylvania
- ZIP Code
- 19355-1426
- Phone
- (484) 402-4727
Authorized Official
- Name
- NICOLE GROSS, M.S., LPC, NCC
- Title
- PRESIDENT
- Phone
- (484) 402-4727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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