Individual
MRS. NICOLE ANN LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
64 MAIN ST, OSWEGO, IL 60543-9893
(630) 519-1010
Mailing address
381 N 400 E, VALPARAISO, IN 46383-9705
(219) 765-2836
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002121A
IN
Other
Enumeration date
07/30/2022
Last updated
04/10/2024
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