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

Eliza Diane Clontz is a Professional Counselor based in London, KY and is specialized in Professional. Eliza Diane Clontz practices in London, 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 119 Solomon James Ln, London, KY and can be reached out via phone at 606-312-1258.

Location: 119 Solomon James Ln, London, KY, 40744-8192
person
Provider Profile Details
NPI Number
1710105762
Provider Name
Eliza Diane Clontz
Credential
LPCCLCADCSAPCSS
Provider Entity Type
Individual
Gender
Female
Address
119 Solomon James Ln, London, KY, 40744-8192
Phone Number
606-312-1258
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100283130 05 KY
institution
Provider Business Practice Location Address Details
Address
119 Solomon James Ln
City
State
Zip
40744-8192
Phone Number
606-312-1258
Fax Number
person
Provider Business Mailing Address Details
Address
119 Solomon James Ln
City
State
Zip
40744-8192
Phone Number
606-312-1258
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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