Individual
JACLYN LEA LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4975 LACROSS RD STE 351, NORTH CHARLESTON, SC 29406-6530
(855) 284-7483
(617) 807-0958
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7538
SC
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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