Provider Demographics
NPI:1730250283
Name:LIGHT, STUART SETH (MA, MED)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:SETH
Last Name:LIGHT
Suffix:
Gender:M
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 CAMINO CAMPANA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1425
Mailing Address - Country:US
Mailing Address - Phone:805-683-1181
Mailing Address - Fax:
Practice Address - Street 1:315 W HALEY ST
Practice Address - Street 2:#102
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3471
Practice Address - Country:US
Practice Address - Phone:805-966-3310
Practice Address - Fax:805-966-5582
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health