Female

Mrs. Amanda R. Lightner LPC

Mental Health Counselor in Jefferson, WI(View on Map)

Full Name

Mrs. Amanda Rae Lightner LPC

NPI Number

1285063354

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/08/2013

Specialties

(Taxonomies)

Code

101YM0800X
101YA0400X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin
Wisconsin

License Number

5961125
17267-130

Contact
Information

Purpose

Mailing
Location

Address

1541 ANNEX RD
1541 ANNEX RD

City

Jefferson
Jefferson

State

WI
WI

Postal Code

53549-9803
53549-9803

Country

US
US

Telephone Number

(920) 674-8197
(920) 674-8197

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/19/2016

Provider Address

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Brooke Kysely MS, LPC, NCC

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