Individual
ANITA LOUISE LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
26229 N CRANES MILL RD, CANYON LAKE, TX 78133-1957
(830) 214-1559
Mailing address
26229 N CRANES MILL RD, CANYON LAKE, TX 78133-1957
(830) 214-1559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76743
TX
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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