| Doctor Name: | MEGHAN EILEEN LIGHTFOOT |
| NPI Number: | 1417329624 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC-5815 |
| Business Practice Address: | 125 Commerce St Ste B Mccall, ID - 836385192 |
| Business Phone Number: | 2086342962 |
| Business Fax Number: | 2086345064 |
| Mailing Address: | 125 Commerce St Ste B, MCCALL |
| State: | ID |
| Postal Code: | 836385192 |
| Phone Number: | 2086342962 |
| Fax Number: | 2086345064 |
| NPI Enumeration Date: | 10/27/2015 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-5815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |