Individual
MELISSA LANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6 CHENELL DR STE 100, CONCORD, NH 03301-8514
(603) 545-8355
Mailing address
79 BEECH HILL RD, CAMPTON, NH 03223-4300
(603) 726-0305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
768
NH
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706646Y0NH01
ANTHEM
NH
Enumeration date
11/16/2006
Last updated
01/04/2021
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