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Organization
LUMOS THERAPY LLC
Active
Organization
LUMOS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS DEARING LCPC (OWNER)
(217) 765-8159
Entity
Organization
Contact information
Practice address
707 22ND ST, CHARLESTON, IL 61920-2310
(217) 765-8159
Mailing address
707 22ND ST, CHARLESTON, IL 61920-2310
(217) 765-8159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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