Individual provider · Type 1 NPI

Lucky S. Light

Addiction (Substance Use Disorder) Counselor · Rochester, NY

NPI number 1922796978 Active

Practice location

556 Clinton Ave S
Rochester, NY 14620-1105

Fax (585) 442-8494

Mailing address

255 Westmoreland Dr
Rochester, NY 14620-4425

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X36169-T (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922796978

Lucky S. Light's National Provider Identifier is 1922796978, issued on Apr 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, NY. The record was last updated on Apr 27, 2023.