Individual
AMANDA WATERCOLOR GOLIGHTLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2016 E BROADWAY BLVD, TUCSON, AZ 85719-5936
(520) 358-6682
Mailing address
2105 N EDISON TER, TUCSON, AZ 85716-2807
(520) 358-6682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18698
AZ
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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