Organization
LUMINOUS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON RAYMOND NELSON MA, LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(816) 582-1916
Entity
Organization
Contact information
Practice address
8575 W 110TH ST STE 304, OVERLAND PARK, KS 66210-2620
(913) 353-5317
Mailing address
212 N CHURCH ST, OLATHE, KS 66061-3524
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3266
KS
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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