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Mrs. Alice Marie Light, PHD
Counselor in Dyersburg, Tennessee
NPI 1881311256

Alice Marie Light is a Counselor based in Dyersburg, TN. Alice Marie Light practices in Dyersburg, TN and has the professional credentials of PHD. The NPI Number for Alice Marie Light is 1881311256 and holds a License No. (Tennessee).

The current practice location address for Alice Marie Light is 675 Carter Ln, Dyersburg, TN and can be reached out via phone at 731-676-3707.

Location: 675 Carter Ln, Dyersburg, TN, 38025-1045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881311256
Provider Name
Alice Marie Light
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
675 Carter Ln, Dyersburg, TN, 38025-1045
Phone Number
731-676-3707
Fax Number
Provider Enumeration Date
10/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
675 Carter Ln
City
Dyersburg
State
Tennessee
Zip
38024-8107
Phone Number
731-676-3707
Fax Number
person
Provider Business Mailing Address Details
Address
675 Carter Ln
City
Dyersburg
State
Tennessee
Zip
38024-8107
Phone Number
731-676-3707
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
19735 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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