Organization · Type 2 NPI
Lighted Path Therapy Services
Professional Counselor · Wasilla, AK
NPI number
1093212466
Active
Practice location
901 N. Leatherleaf Loop Suite 103
Wasilla, AK 99654
Fax (855) 553-8083
Mailing address
PO Box 871336
Wasilla, AK 99654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 809 (AK) |
Professional Counselor: Definition to come...
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About NPI 1093212466
Lighted Path Therapy Services's National Provider Identifier is 1093212466, issued on Apr 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wasilla, AK. The record was last updated on Apr 11, 2018.