Individual
MARK CHARLES LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
2115 COUNTY ROAD D E # B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Mailing address
2115 COUNTY ROAD D E # B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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