Ethan Lightle

NPI #1265247886 in Greenfield, Ohio

Provider Information

NPI Number
1265247886
Entity Type
Individual
Name
Ethan Lightle
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Feb 11, 2025
Last Updated
Feb 11, 2025

Practice Location

Address
910 SOUTH ST
State
Ohio
ZIP Code
45123-1249
Phone
(877) 997-3224

Specialties & Taxonomy Codes

Specialty
Counselor

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