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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILLUMINE LLC

Active Organization

ILLUMINE LLC is a Professional Counselor organization located in WALDORF, Maryland. NPI 1750742664 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · WALDORF, MD

Registration Details

NPI Number
1750742664
Provider Type
Organization
NPI Issued
Mar 19, 2016 (10.402946076484 yrs)
Last Updated
Mar 19, 2016
License
LC2196 (MD)

Practice Information

Address
605 POST OFFICE RD STE 301
WALDORF, MD, 206021913
Browse MD providers · Browse ZIP 20602
Phone
3019286045
Primary Specialty
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.