Individual provider · Type 1 NPI

Mary Lightholder

Mental Health Counselor · San Leandro, CA

NPI number 1003068966 Active

Practice location

500 Davis St
San Leandro, CA 94577-2757

Call (510) 618-6428 Map

Mailing address

41225 Apricot Ln
Fremont, CA 94539-4501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003068966

Mary Lightholder's National Provider Identifier is 1003068966, issued on Oct 22, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Aug 30, 2012.