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Organization
LIGHTED PATH RECOVERY CENTER
Active
Organization
LIGHTED PATH RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JEFFERSON PHD, LMFT-S (OWNER)
(682) 738-5482
Entity
Organization
Contact information
Practice address
4216 102ND ST STE 15, LUBBOCK, TX 79423-5707
(682) 738-5482
Mailing address
4410 121ST LN, LUBBOCK, TX 79424-1386
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
04/07/2023
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