Individual
DANIEL LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5806 COLGATE ST, LUBBOCK, TX 79416-3305
(806) 441-0010
Mailing address
5806 COLGATE ST, LUBBOCK, TX 79416-3305
(806) 441-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68858
TX
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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