Individual
MR. ARTHUR RUDOLPH LIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CSAC, CCS, LCAS
Contact information
Practice address
405 NC HIGHWAY 65, REIDSVILLE, NC 27320-8882
(336) 342-8316
(336) 342-8352
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992033484
—
NC
01
—
19NXZ
BCBS
NC
Enumeration date
11/23/2009
Last updated
07/21/2022
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