Individual
CAROLYN JEAN CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LMFT
Contact information
Practice address
8408 DAVIS BLVD STE 240, NORTH RICHLAND HILLS, TX 76182-8610
(817) 765-5664
Mailing address
1075 ADMIRAL DR, AZLE, TX 76020-2958
(817) 403-8215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15348
TX
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
203099
TX
Other
Enumeration date
05/29/2018
Last updated
10/03/2024
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