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Illumine Llc
Professional Counselor in Waldorf, Maryland
NPI 1750742664

Illumine Llc is a Professional Counselor based in Waldorf, MD and is specialized in Professional. Illumine Llc practices in Waldorf, MD. The NPI Number for Illumine Llc is 1750742664 and holds a License No. LC2196 (Maryland).

The current practice location address for Illumine Llc is 605 Post Office Rd Ste 301, Waldorf, MD and can be reached out via phone at 301-928-6045.

Location: 605 Post Office Rd Ste 301, Waldorf, MD, 20602-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750742664
Provider Name
Illumine Llc
Credential
Provider Entity Type
Organization
Address
605 Post Office Rd Ste 301, Waldorf, MD, 20602-1913
Phone Number
301-928-6045
Fax Number
Provider Enumeration Date
03/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 Post Office Rd Ste 301
City
Waldorf
State
Maryland
Zip
20602-1913
Phone Number
301-928-6045
Fax Number
person
Provider Business Mailing Address Details
Address
605 Post Office Rd Ste 301
City
Waldorf
State
Maryland
Zip
20602-1913
Phone Number
301-928-6045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LC2196 (Maryland)
Definition
Definition to come...
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