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Organization
THE LIGHT PSYCHOTHERAPY AND COUNSELING SERVICE
Active
Organization
THE LIGHT PSYCHOTHERAPY AND COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELINE MARY KLECKER MS, LPC, CADC (THERAPIST/OWNER)
(810) 610-2301
Entity
Organization
Contact information
Practice address
10315 GRAND RIVER RD STE 306, BRIGHTON, MI 48116-9586
(810) 522-5208
Mailing address
7274 LINDEN RD, FENTON, MI 48430-9397
(810) 610-2301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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