Individual provider · Type 1 NPI
Amanda Rae Lightner, LPC
Mental Health Counselor · Jefferson, WI
NPI number
1285063354
Active
Practice location
1541 Annex Rd
Jefferson, WI 53549-9803
Fax (920) 674-6113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 5961125 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17267-130 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1285063354
Amanda Rae Lightner, LPC's National Provider Identifier is 1285063354, issued on Nov 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jefferson, WI. The record was last updated on Sep 19, 2016.