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Organization
LIGHT AND GLORY
Active
Organization
LIGHT AND GLORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TATE MA, LMFT (CO-FOUNDER/CEO)
(808) 237-9320
Entity
Organization
Contact information
Practice address
102 23RD AVE SE STE A, PUYALLUP, WA 98372-4501
(253) 234-7185
(253) 987-7223
Mailing address
102 23RD AVE SE STE A, PUYALLUP, WA 98372-4501
(253) 234-7185
(253) 987-7223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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