| Illumination Geriatric Consultation And Counseling Services | |
|
1832 Scott Rd Burbank CA 91504-3819 | |
| (818) 568-6244 | |
| Not Available |
| Full Name | Illumination Geriatric Consultation And Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1832 Scott Rd, Burbank, California |
| Authorized Official Name and Position | Susan Mary Miller (LICENSED CLINICAL SOCIAL WORKER/CEO) |
| Authorized Official Contact | 8185686244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumination Geriatric Consultation And Counseling Services 1832 Scott Rd Burbank CA 91504-3819 Ph: (818) 568-6244 | Illumination Geriatric Consultation And Counseling Services 1832 Scott Rd Burbank CA 91504-3819 Ph: (818) 568-6244 |
| NPI Number | 1265741581 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265741581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 26431 (California) | Primary |
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