LIGHTED PATH THERAPY SERVICES

WASILLA, AK
NPI1093212466
Entity TypeOrganization
Authorized ContactBRADFORD ERIC HOLL
Owner
907-312-1202
Organization Subpart ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AK  809)
Enumeration Date2018-04-11
Last Update Date2018-04-11
Business Address
LIGHTED PATH THERAPY SERVICES
901 N. LEATHERLEAF LOOP SUITE 103
WASILLA, AK 99654
Phone number: 907-312-1202
Mailing Address
LIGHTED PATH THERAPY SERVICES
PO BOX 871336
WASILLA, AK 99654
Phone number: 907-312-1202
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