Individual
JENNIFER D LIGHTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1125 W SPRUCE ST, OLATHE, KS 66061-3123
(913) 782-2100
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2264
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174513444
—
KS
Enumeration date
05/20/2008
Last updated
11/21/2023
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