person
Ms. Eliza Diane Clontz, LPCCLCADCSAPCSS
Professional Counselor in Corbin, Kentucky
NPI 1710105762

Eliza Diane Clontz is a Professional Counselor based in Corbin, KY and is specialized in Professional. Eliza Diane Clontz practices in Corbin, KY and has the professional credentials of LPCCLCADCSAPCSS. The NPI Number for Eliza Diane Clontz is 1710105762 and holds a License No. 165015 (Kentucky).

The current practice location address for Eliza Diane Clontz is 1019 Cumberland Falls Hwy Ste B201, Corbin, KY and can be reached out via phone at 606-528-9005. You can also correspond with Eliza Diane Clontz through the mailing address at 1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY - 40701-2793 (mailing address contact number: 606-528-9005).

Location: 1019 Cumberland Falls Hwy Ste B201, Corbin, KY, 40701-2793
person
Provider Profile Details
NPI Number
1710105762
Provider Name
Eliza Diane Clontz
Credential
LPCCLCADCSAPCSS
Provider Entity Type
Individual
Gender
Female
Address
1019 Cumberland Falls Hwy Ste B201, Corbin, KY, 40701-2793
Phone Number
606-528-9005
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100283130 05 KY
institution
Provider Business Practice Location Address Details
Address
1019 Cumberland Falls Hwy Ste B201
City
State
Zip
40701
Phone Number
606-528-9005
Fax Number
person
Provider Business Mailing Address Details
Address
1019 Cumberland Falls Hwy Ste B201
City
State
Zip
40701
Phone Number
606-528-9005
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
105747 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
165015 (Kentucky)
Definition
Definition to come...
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