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Organization
LIGHT SIDE THERAPY LLC
Active
Organization
LIGHT SIDE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL REGENHARDT (ADMINISTRATIVE ASSISTANT)
(773) 490-8863
Entity
Organization
Contact information
Practice address
1845 E RAND RD STE L109, ARLINGTON HEIGHTS, IL 60004-4375
(773) 490-8863
Mailing address
1845 E RAND RD STE L109, ARLINGTON HEIGHTS, IL 60004-4375
(773) 490-8863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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