Individual provider · Type 1 NPI
Amanda Watercolor Golightly, LAC
Mental Health Counselor · Tucson, AZ
NPI number
1639799018
Active
Practice location
2016 E Broadway Blvd
Tucson, AZ 85719-5936
Mailing address
2105 N Edison Ter
Tucson, AZ 85716-2807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-18698 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1639799018
Amanda Watercolor Golightly, LAC's National Provider Identifier is 1639799018, issued on Apr 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucson, AZ. The record was last updated on Apr 25, 2020.