Individual
MR. CHARLES LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
700 FOURMILE PKWY, CANON CITY, CO 81212-9114
(719) 276-7500
(719) 276-6961
Mailing address
700 FOURMILE PKWY, CANON CITY, CO 81212-9114
(719) 276-7500
(719) 276-6961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2529
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72406259
—
CO
Enumeration date
06/27/2007
Last updated
07/09/2007
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