Individual
LEZLI MANTZARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
1314 S 258TH ST, WATERLOO, NE 68069-4814
(402) 881-7557
Mailing address
1314 S 258TH ST, WATERLOO, NE 68069-4814
(402) 881-7557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4080
NE
Other
Enumeration date
07/14/2012
Last updated
07/14/2012
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