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Individual

MS. DENISE PATRICIA LIGHTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C., C.A.C.D.

Contact information

Practice address
327 N WASHINGTON AVE, SUITE 105, SCRANTON, PA 18503-1549
(570) 604-4350
Mailing address
327 N WASHINGTON AVE, SUITE 105, SCRANTON, PA 18503-1549
(570) 604-4350

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5948
PA
101YM0800X
Mental Health Counselor
Primary
PC003816
PA

Other

Enumeration date
07/26/2008
Last updated
07/26/2008
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