Organization
L.I.G.H.T. COUNSELING CENTER
Active
Other names
LIGHT Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER HORTENSE FERGUSON MA, LMFT, CDP (CEO)
(253) 503-0236
Entity
Organization
Contact information
Practice address
9124 GRAVELLY LAKE DR SW, LAKES PLAZA SUITE 101, LAKEWOOD, WA 98499-3198
(253) 503-0236
(253) 503-0982
Mailing address
9124 GRAVELLY LAKE DR SW, LAKES PLAZA SUITE 101, LAKEWOOD, WA 98499-3198
(253) 503-0236
(253) 503-0982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
602933664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331-8907
—
WA
Enumeration date
12/29/2011
Last updated
12/29/2011
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