Individual
MR. DANIEL PAUL LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
Mailing address
PO BOX 382, HOUSTON, AK 99694-0382
(907) 521-3240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCOP426
AK
Other
Enumeration date
06/24/2019
Last updated
10/22/2021
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