Blue Light Counseling
Counselor, Professional in Georgetown, TX. Organization (NPI-2).
NPI number1154780997
StatusActive
Last updated in NPPESJun 1, 2016
Details
- NPI
- 1154780997
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Light Counseling
- Organization subpart
- No
- Enumeration date
- Feb 22, 2016
- Last updated
- Jun 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 73209 | TX | Yes |
Practice location
3008 Dawn DrSuite 101
Georgetown, TX 78628-2821
Phone 603-724-0079
Mailing address
180 Eagle Owl LoopLeander, TX 78641-2712
Phone 603-724-0079
Authorized official
Magon Kunes
Therapist/Owner
6037240079
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