person
Mrs. Amanda Rae Lightner, LPC
Addiction (Substance Use Disorder) Counselor in Jefferson, Wisconsin
NPI 1285063354

Amanda Rae Lightner is an Addiction (Substance Use Disorder) Counselor based in Jefferson, WI and is specialized in Addiction (Substance Use Disorder). Amanda Rae Lightner practices in Jefferson, WI and has the professional credentials of LPC. The NPI Number for Amanda Rae Lightner is 1285063354 and holds a License No. 5961125 (Wisconsin).

The current practice location address for Amanda Rae Lightner is 1541 Annex Rd, Jefferson, WI and can be reached out via phone at 920-674-8197 and via fax at 920-674-6113.

Location: 1541 Annex Rd, Jefferson, WI, 53549-9803
person
Provider Profile Details
NPI Number
1285063354
Provider Name
Amanda Rae Lightner
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1541 Annex Rd, Jefferson, WI, 53549-9803
Phone Number
920-674-8197
Fax Number
920-674-6113
Provider Enumeration Date
11/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1541 Annex Rd
City
State
Zip
53549-9803
Phone Number
920-674-8197
Fax Number
920-674-6113
person
Provider Business Mailing Address Details
Address
1541 Annex Rd
City
State
Zip
53549-9803
Phone Number
920-674-8197
Fax Number
920-674-6113
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17267-130 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5961125 (Wisconsin)
Definition
Definition to come...
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