Individual provider · Type 1 NPI

Julia Marie Light, CDCA

Mental Health Counselor · Wooster, OH

NPI number 1114519303 Active

Practice location

104 Spink St
Wooster, OH 44691-3652

Fax (330) 264-3777

Mailing address

80 S 2nd St
Rittman, OH 44270-1443

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCDCA.175907 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1114519303

Julia Marie Light, CDCA's National Provider Identifier is 1114519303, issued on Feb 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wooster, OH. The record was last updated on Feb 9, 2021.