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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