Individual provider · Type 1 NPI
Christina A. Lightbourn, MS
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1487869780
Active
Practice location
1102 S Park St
Madison, WI 53715-1708
Fax (608) 287-5992
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15592 (WI) |
| Professional Counselor | 101YP2500X | 5579 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487869780
Christina A. Lightbourn, MS's National Provider Identifier is 1487869780, issued on May 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Nov 10, 2015.