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Mary Lightholder

Mental Health Counselor

500 Davis St
San Leandro , California 94577-2757

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Image

Mary Lightholder

Mental Health Counselor

500 Davis St
San Leandro , California 94577-2757

(510) 618-6428

Write a Review Save Call

Mary Lightholder

Mental Health Counselor

500 Davis St
San Leandro , California 94577-2757

(510) 618-6428 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Mental Health Counselor

Languages spoken

  • English

Location

500 Davis St San Leandro , California 94577-2757

First Address

  • Mary Lightholder
  • 41225 Apricot Ln
  • Fremont, CA
  • Zip : 94539-4501
  • Phone : (510) 618-6428

Second Address

  • Mary Lightholder
  • 500 Davis St
  • San Leandro, CA
  • Zip : 94577-2757
  • Phone : (510) 618-6428

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FAQs


Where did Mary Lightholder attend graduate school?

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Where did Mary Lightholder do her residency?

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Where did Mary Lightholder do her fellowship?

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Is Mary Lightholder board certified?

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What type of doctor is Mary Lightholder

Mental Health Counselor

In what state does Mary Lightholder practice in?

California

Where is Mary Lightholder ’s practice located?

500 Davis St , San Leandro, California, 94577-2757

What is Mary Lightholder ’s gender?

Female

Is Mary Lightholder a sole practitioner?

No

Is Mary Lightholder accepting new patients?

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What languages does Mary Lightholder speak?

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Does Mary Lightholder accept insurance?

Yes, Mary Lightholder accepts insurance

Does Mary Lightholder offers telemedicine?

Mary Lightholder has not indicated if she offers telemedicine

What is Mary Lightholder ’s professional license number?

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What is Mary Lightholder ’s NPI number?

1003068966

Does Mary Lightholder have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YM0800X Mental Health Counselor

National Provider Identifier

NPI 1003068966
Provider Name Mary Lightholder
First Address Fremont, CA 94539-4501
Second Address San Leandro, CA 94577-2757
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/10/2008
Last Update Date 30/08/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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