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Organization
ILLUMINATED PATH, LLC
Active
Organization
ILLUMINATED PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ROBISON LPC (OWNER)
(480) 331-1308
Entity
Organization
Contact information
Practice address
8317 E WILSHIRE DR, SCOTTSDALE, AZ 85257-2352
(480) 430-6540
Mailing address
8317 E WILSHIRE DR, SCOTTSDALE, AZ 85257-2352
(480) 430-6540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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