Organization
LIGHTED PATHWAYS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN MORTON LMFT (PSYCHOTHERAPIST)
(763) 290-6667
Entity
Organization
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 205, COON RAPIDS, MN 55433-5805
(763) 290-6667
(763) 340-0730
Mailing address
299 COON RAPIDS BLVD NW STE 205, COON RAPIDS, MN 55433-5805
(763) 290-6667
(763) 340-0730
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285012823
—
WI
Enumeration date
02/13/2023
Last updated
02/16/2023
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