Organization
OWL LIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ALICE WILSON LCPC (OWNER)
(775) 910-1736
Entity
Organization
Contact information
Practice address
1050 E ELDERBERRY ST, PAHRUMP, NV 89048-7149
(775) 910-1736
Mailing address
1050 E ELDERBERRY ST, PAHRUMP, NV 89048-7149
(775) 910-1736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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