Individual
MR. DWAYNE G LIGHTSEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 2ND AVE, COLUMBUS, GA 31901-5241
(706) 571-9128
(706) 571-9242
Mailing address
1220 2ND AVE, COLUMBUS, GA 31901-5241
(706) 571-9128
(706) 571-9242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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