Mary Lightholder
NPI #1003068966 in San Leandro, California
Provider Information
- NPI Number
- 1003068966
- Entity Type
- Individual
- Name
- Mary Lightholder
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 22, 2008
- Last Updated
- Aug 30, 2012
Practice Location
- Address
- 500 DAVIS ST
- City
- San Leandro
- State
- California
- ZIP Code
- 94577-2757
- Phone
- (510) 618-6428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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