Organization
BEACON OF LIGHT COUNSELING LLC
Active
Organization
BEACON OF LIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEASA LINETTE MOORE LMSW (LICENSED CLINICAL SOCIAL WORKER)
(231) 515-2055
Entity
Organization
Contact information
Practice address
1515 E LAKETON AVE, MUSKEGON, MI 49442
(231) 515-2055
Mailing address
PO BOX 1264, MUSKEGON, MI 49443-1264
(231) 515-2055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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