Organization
LIFESOURCE, LLC.
Active
Other names
LifeSource(TM) Christian Life & Mental Health Coaching, LifeSource Christian Life & Mental Health Coaching
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK LEE MCQUEEN BCCMMHC (CEO)
(513) 609-4796
Entity
Organization
Contact information
Practice address
117 PARK AVE, HAMILTON, OH 45013-3120
(513) 609-4796
Mailing address
117 PARK AVE, HAMILTON, OH 45013-3120
(513) 609-4796
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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