Mark Charles Lightner, B.A.

NPI #1053585018 in Maplewood, Minnesota

Provider Information

NPI Number: 1053585018
Entity Type: Individual
Name: Mark Charles Lightner, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: B.A.
Enumeration Date: Apr 21, 2008
Last Updated: Apr 21, 2008

Practice Location

Address: 2115 COUNTY ROAD D E # B
City: Maplewood
State: Minnesota
ZIP Code: 55109-5353
Phone: (651) 748-5019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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