Organization
LUMINATE THERAPY COLLECTIVE
Active
Other names
Luminate Therapy Collective
Organization subpart
No
Provider details
NPI number
Authorized official
JEANA M WESCOTT LMFT (OWNER/LMFT)
(515) 897-9558
Entity
Organization
Contact information
Practice address
307 VILLAGE PKWY, CIRCLE PINES, MN 55014
(515) 897-9558
Mailing address
6800 CEDAR LAKE RD S APT 224, MINNEAPOLIS, MN 55426-2879
(515) 897-9558
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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