Doctor Name: | MRS. JAN L LENTZ |
NPI Number: | 1235151648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW LCSW |
License Number: | TX 39737 |
Business Practice Address: | 300 W Veterans Blvd Big Spring, TX - 797205566 |
Business Phone Number: | 4322637361 |
Business Fax Number: | 4322685086 |
Mailing Address: | 300 W Veterans Blvd, BIG SPRING |
State: | TX |
Postal Code: | 797205566 |
Phone Number: | 4322637361 |
Fax Number: | 4322685086 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | TX 39737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |