Individual
VICTORIA ANNE LIGHTCAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
3948 NEW VISION DR STE D, FORT WAYNE, IN 46845-1721
(260) 407-7285
(260) 407-0094
Mailing address
5618 INLAND TRL, FORT WAYNE, IN 46825-5907
(260) 405-8471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
03/12/2009
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