Individual
MS. CAROL ELLEN LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED.
Contact information
Practice address
20 N TACOMA AVE, STE. B, TACOMA, WA 98403-3133
(253) 224-2679
Mailing address
20 N TACOMA AVE, STE. B, TACOMA, WA 98403-3133
(253) 224-2679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00008605
WA
101YP2500X
Professional Counselor
LH00008605
WA
102L00000X
Psychoanalyst
LH00008605
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011449
—
WA
Enumeration date
03/11/2008
Last updated
06/09/2011
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