Individual
MRS. PAMELAKAY LIGHTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, PLPC
Contact information
Practice address
8965 HIGHWAY 36, SUITE F, HANNIBAL, MO 63401-6739
(573) 221-7027
(573) 221-7028
Mailing address
428 S 36TH ST, QUINCY, IL 62301-5924
(217) 224-6300
(217) 224-4329
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006025673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496264706
—
MO
Enumeration date
10/16/2007
Last updated
06/07/2024
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