Individual
ANDREW LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 CHESTNUT ST STE 403, PHILADELPHIA, PA 19107-4304
(215) 732-2306
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
(617) 454-4916
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011047
PA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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