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Individual
MARY KATHLEEN LICHTENWALTER
Active
Individual
MARY KATHLEEN LICHTENWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 5276
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC 870056A
IN
101YM0800X
Mental Health Counselor
39001980A
IN
101YM0800X
Mental Health Counselor
Primary
MH10712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196900A
—
IN
Enumeration date
12/28/2006
Last updated
10/15/2025
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