person
Lucky S Light
Addiction (Substance Use Disorder) Counselor in Rochester, New York
NPI 1922796978

Lucky S Light is an Addiction (Substance Use Disorder) Counselor based in Rochester, NY and is specialized in Addiction (Substance Use Disorder). Lucky S Light practices in Rochester, NY. The NPI Number for Lucky S Light is 1922796978 and holds a License No. 36169-T (New York).

The current practice location address for Lucky S Light is 556 Clinton Ave S, Rochester, NY and can be reached out via phone at 585-442-8422 and via fax at 585-442-8494.

Location: 556 Clinton Ave S, Rochester, NY, 14620-4425
person
Provider Profile Details
NPI Number
1922796978
Provider Name
Lucky S Light
Credential
Provider Entity Type
Individual
Gender
Female
Address
556 Clinton Ave S, Rochester, NY, 14620-4425
Phone Number
585-442-8422
Fax Number
585-442-8494
Provider Enumeration Date
04/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
556 Clinton Ave S
City
State
Zip
14620-1105
Phone Number
585-442-8422
Fax Number
585-442-8494
person
Provider Business Mailing Address Details
Address
556 Clinton Ave S
City
State
Zip
14620-1105
Phone Number
585-442-8422
Fax Number
585-442-8494
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
36169-T (New York)
Definition
Definition to come...
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