Individual
CHRISTINA A LIGHTBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 282-8270
(608) 287-5992
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15592
WI
101YP2500X
Professional Counselor
5579
WI
Other
Enumeration date
05/11/2007
Last updated
11/10/2015
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