Individual provider · Type 1 NPI

Stacy Joy Light, LPC., NBCC

Professional Counselor · St. Louis, MO

NPI number 1720204621 Active

Practice location

621 S New Ballas Rd, Ste 268A
St. Louis, MO 63141-8232

Call (314) 872-7792 Map

Fax (314) 251-5690

Mailing address

11519 Craig Ct, Apt. 511
St. Louis, MO 63146-5283

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2003026702 (MO)

Professional Counselor: Definition to come...

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About NPI 1720204621

Stacy Joy Light, LPC., NBCC's National Provider Identifier is 1720204621, issued on Apr 18, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.