Organization
CARLY LANTZ COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY LANTZ (LICENSE SOCIAL WORKER)
(574) 535-0880
Entity
Organization
Contact information
Practice address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 538-7960
Mailing address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 538-7960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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