Individual
MS. AMY M. LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1701 W GARDEN ST, PEORIA, IL 61605-3531
(309) 680-7600
(309) 676-5506
Mailing address
1701 W GARDEN ST, PEORIA, IL 61605-3531
(309) 680-7600
(309) 676-5506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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