Individual
REGAN LICHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2211 E HIGHLAND AVE STE 140, PHOENIX, AZ 85016-4867
(443) 690-7846
Mailing address
2512 N 10TH ST, PHOENIX, AZ 85006-1054
(443) 690-7846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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