Luminescence Counseling LLC

NPI #1992267454 in Alexandria, Virginia

Provider Information

NPI Number: 1992267454
Entity Type: Organization
Organization Name: Luminescence Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 300 N WASHINGTON ST STE 607
City: Alexandria
State: Virginia
ZIP Code: 22314-2544
Phone: (713) 933-8903

Authorized Official

Name: MRS. FAIZA OMER JACKSON, LCSW
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (713) 933-8903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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