Individual
MS. JOAN E GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
1530 PATHWAY DRIVE, CARRBORO, NC 27510-4100
(919) 345-7580
Mailing address
1530 PATHWAY DRIVE, CARRBORO, NC 27510-4100
(919) 345-7580
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341441
MHN
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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