MARY KATHLEEN LICHTENWALTER

PORT ORANGE, FL
NPI1326104001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH10712)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  LCAC 870056A)
101YM0800X Counselor, Mental Health
(Licence: IN  39001980A)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  CAP 5276)
Enumeration Date2006-12-28
Last Update Date2025-10-15
Business Address
-- MARY KATHLEEN LICHTENWALTER LMHC, CAP, CCS
3930 S NOVA RD STE 307
PORT ORANGE, FL 32127-9293
Phone number: 386-795-7996
Mailing Address
-- MARY KATHLEEN LICHTENWALTER LMHC, CAP, CCS
1910 MARILYN ST
DAYTONA BEACH, FL 32118-5123
Phone number: 386-795-7996