Bright Light Counseling, P.c. | |
6165 Nw 86th St # 127 Johnston IA 50131-2270 | |
(515) 992-6355 | |
Not Available |
Full Name | Bright Light Counseling, P.c. |
---|---|
Speciality | Counselor - Mental Health |
Location | 6165 Nw 86th St # 127, Johnston, Iowa |
Authorized Official Name and Position | Victoria Wieben (OWNER) |
Authorized Official Contact | 5159926355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Light Counseling, P.c. 6165 Nw 86th St # 127 Johnston IA 50131-2270 Ph: (515) 992-6355 | Bright Light Counseling, P.c. 6165 Nw 86th St # 127 Johnston IA 50131-2270 Ph: (515) 992-6355 |
NPI Number | 1659993228 |
---|---|
Provider Enumeration Date | 05/17/2020 |
Last Update Date | 05/17/2020 |
Certification Date | 05/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659993228 | NPI | - | NPPES |
1215220223 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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