Provider Demographics
NPI:1851701007
Name:LICHTENSTEIN, VERONICA A (LMHC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:A
Last Name:LICHTENSTEIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 MILITARY TRL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4819
Mailing Address - Country:US
Mailing Address - Phone:561-747-2775
Mailing Address - Fax:561-747-1881
Practice Address - Street 1:4425 MILITARY TRL
Practice Address - Street 2:SUITE 203
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4819
Practice Address - Country:US
Practice Address - Phone:561-747-2775
Practice Address - Fax:561-747-1881
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health