Amy M. Light LCPC

NPI 1710210711 - Counselor - 101YM0800X

NPI Details
NPI 1710210711
Gender Female
Enumeration Date 09/09/2009
Last Updated 09/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1701 W GARDEN ST
PEORIA IL, 61605-3531, US
Phone (309) 680-7600
Fax (309) 676-5506
Business Location
1701 W GARDEN ST
PEORIA IL, 61605-3531, US
Phone (309) 680-7600
Fax (309) 676-5506
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Amy M. Light LCPC NPI is 1710210711, taxonomy code is 101YM0800X Amy M. Light LCPC physically located at 1701 W Garden St, Peoria IL, 61605-3531. NPI Number Amy M. Light LCPC has the Individual type.

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1710210711 NPI number is provided on an as is basis without warranty of any kind. 1710210711 is maintained by the National Plan & Provider Enumeration System. The contents of Amy M. Light LCPC are for informational purposes only.