Illumination Geriatric Consultation and Counseling Services
NPI #1265741581 in Burbank, California
Provider Information
- NPI Number
- 1265741581
- Entity Type
- Organization
- Organization Name
- Illumination Geriatric Consultation and Counseling Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 4, 2010
- Last Updated
- Oct 4, 2010
Practice Location
- Address
- 1832 SCOTT RD
- City
- Burbank
- State
- California
- ZIP Code
- 91504-3819
- Phone
- (818) 568-6244
Authorized Official
- Name
- MS. SUSAN MARY MILLER, LCSW
- Title
- LICENSED CLINICAL SOCIAL WORKER/CEO
- Phone
- (818) 568-6244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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