Doctor Name: | EILEEN FRANCES LANZA |
NPI Number: | 1083820963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 000140 |
Business Practice Address: | 3 Palmer Court White River Junction, VT - 05001 |
Business Phone Number: | 8026493045 |
Business Fax Number: | 8026492631 |
Mailing Address: | P.o. Box 75, SHARON |
State: | VT |
Postal Code: | 05065 |
Phone Number: | 8026493045 |
Fax Number: | 8026492631 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000140 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |