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Organization
LUMINESCENCE COUNSELING LLC
Active
Organization
LUMINESCENCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAIZA OMER JACKSON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(713) 933-8903
Entity
Organization
Contact information
Practice address
300 N WASHINGTON ST STE 607, ALEXANDRIA, VA 22314-2544
(713) 933-8903
Mailing address
7644 AUDUBON MEADOW WAY, ALEXANDRIA, VA 22306-2277
(713) 933-8903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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