| 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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