Individual
TIMOTHY D LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
204B W BURLINGTON AVE, FAIRFIELD, IA 52556-3239
(641) 472-7216
(641) 472-1786
Mailing address
204B W BURLINGTON AVE, FAIRFIELD, IA 52556-3239
(641) 472-7216
(641) 472-1786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00246
IA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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