Individual
MATTHEW LENERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.C., LISAC, LPC
Contact information
Practice address
1773 W SAINT MARYS RD STE 202, TUCSON, AZ 85745-2654
(928) 376-0026
(928) 782-2298
Mailing address
1773 W SAINT MARYS RD STE 202, TUCSON, AZ 85745-2654
(520) 668-4132
(928) 782-2298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-13784
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11880
AZ
101YM0800X
Mental Health Counselor
LPC-13784
AZ
101YP2500X
Professional Counselor
Primary
LPC-13784
AZ
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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