Organization
LUMINARY GUIDING LIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK BATES CFPS (MENTAL HEALTH PRACTITIONER)
(228) 224-6126
Entity
Organization
Contact information
Practice address
205 E 2ND ST, BLUE EARTH, MN 56013-1905
(228) 224-6126
Mailing address
205 E 2ND ST, BLUE EARTH, MN 56013-1905
(228) 224-6126
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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