Individual
LORIAN FANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
(330) 433-1843
Mailing address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
(330) 433-1843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1200598
OH
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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