Doctor Name: | MATTHEW LENERTZ |
NPI Number: | 1215305883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.C., LISAC, LPC |
License Number: | LPC-13784 |
Business Practice Address: | 1773 W Saint Marys Rd Ste 202 Tucson, AZ - 857452654 |
Business Phone Number: | 9283760026 |
Business Fax Number: | 9287822298 |
Mailing Address: | 1773 W Saint Marys Rd Ste 202, TUCSON |
State: | AZ |
Postal Code: | 857452654 |
Phone Number: | 5206684132 |
Fax Number: | 9287822298 |
NPI Enumeration Date: | 09/12/2015 |
NPI Last Update Date: | 09/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-13784 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |