Individual provider · Type 1 NPI

Alice Marie Light, PhD

Mental Health Counselor · Sarasota, FL

NPI number 1881311256 Active

Practice location

1990 Main St Ste 750
Sarasota, FL 34236-8000

Mailing address

PO Box 1045
Dyersburg, TN 38025-1045

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X19735 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1881311256

Alice Marie Light, PhD's National Provider Identifier is 1881311256, issued on Oct 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sarasota, FL. The record was last updated on Jun 16, 2024.