Individual
SHAUNA LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACHMC
Contact information
Practice address
1125 W CENTER ST, OREM, UT 84057-5207
(801) 903-5903
Mailing address
852 W 1560 N, OREM, UT 84057-2957
(801) 787-2969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13788659-6009
UT
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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