Lighted Path Therapy Services

NPI #1093212466 in Wasilla, Alaska

Provider Information

NPI Number: 1093212466
Entity Type: Organization
Organization Name: Lighted Path Therapy Services
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 11, 2018
Last Updated: Apr 11, 2018

Practice Location

Address: 901 N. LEATHERLEAF LOOP SUITE 103
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 312-1202

Authorized Official

Name: BRADFORD ERIC HOLL, LPC
Title: OWNER
Phone: (907) 312-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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