Individual
ADELLE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 FANNIN AVE, ROUND ROCK, TX 78664-5218
(432) 210-8018
Mailing address
2100 SCENIC DR STE 140, GEORGETOWN, TX 78626-7720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92047
TX
Other
Enumeration date
12/01/2025
Last updated
04/09/2026
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