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Organization
LANTERN THERAPEUTIC SERVICES, INC
Active
Organization
LANTERN THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN JONES LCPC (CLINICAL DIRECTOR/ CEO)
(240) 607-2756
Entity
Organization
Contact information
Practice address
11680 DOOLITTLE DR, SUITE 111, WALDORF, MD 20602-3801
(240) 607-2756
(240) 607-2776
Mailing address
1282 SMALLWOOD DR W, SUITE 507, WALDORF, MD 20603-4732
(240) 607-2756
(240) 607-2776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420333000
—
MD
Enumeration date
01/22/2014
Last updated
10/05/2023
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