Individual
AMANDA LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
321 W WASHINGTON STREET, SUITE 330, MOUNT VERNON, WA 98273-5909
(360) 424-5141
(425) 671-0929
Mailing address
321 W WASHINGTON STREET, SUITE 330, MOUNT VERNON, WA 98273-5909
(360) 424-5141
(425) 671-0929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004924
WA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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