Individual
MRS. MELANIE MARIE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 GEYSER RD, BALLSTON SPA, NY 12020-3022
(518) 885-6884
(518) 885-6446
Mailing address
433 GEYSER RD, BALLSTON SPA, NY 12020-3022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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