person
Mr. Arthur Rudolph Light JR., MA,CSAC,CCS,LCAS
Addiction (Substance Use Disorder) Counselor in Reidsville, North Carolina
NPI 1992033484

Arthur Rudolph Light JR. is an Addiction (Substance Use Disorder) Counselor based in Concord, NC and is specialized in Addiction (Substance Use Disorder). Arthur Rudolph Light JR. practices in Reidsville, NC and has the professional credentials of MA,CSAC,CCS,LCAS. The NPI Number for Arthur Rudolph Light JR. is 1992033484 and holds a License No. 22364 (North Carolina).

The current practice location address for Arthur Rudolph Light JR. is 405 Nc Highway 65, Reidsville, NC and can be reached out via phone at 336-342-8316 and via fax at 336-342-8352. You can also correspond with Arthur Rudolph Light JR. through the mailing address at 284 EXECUTIVE PARK DR STE 100, CONCORD, NC - 28025-1833 (mailing address contact number: 704-939-1100).

Location: 405 Nc Highway 65, Reidsville, NC, 28025-1833
person
Provider Profile Details
NPI Number
1992033484
Provider Name
Arthur Rudolph Light JR.
Credential
MA,CSAC,CCS,LCAS
Provider Entity Type
Individual
Gender
Male
Address
405 Nc Highway 65, Reidsville, NC, 28025-1833
Phone Number
336-342-8316
Fax Number
336-342-8352
Provider Enumeration Date
11/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992033484 05 NC
19NXZ 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
405 Nc Highway 65
City
State
Zip
27320-8882
Phone Number
336-342-8316
Fax Number
336-342-8352
person
Provider Business Mailing Address Details
Address
405 Nc Highway 65
City
State
Zip
27320-8882
Phone Number
336-342-8316
Fax Number
336-342-8352
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22364 (North Carolina)
Definition
Definition to come...
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