Lantz William Kilburn
Lantz William Kilburn is a Mental Health Counselor in Gloucester, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3 Blackburn CtrGloucester, MA 01930-2268
Phone: (978) 283-7198
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1972185049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2021 |
| Last updated in NPPES | April 27, 2021 |
| Certification date | April 27, 2021 |
| Mailing address | 3 Blackburn Ctr, Gloucester, MA 01930-2268 |
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Rebecca Koch, MA, LMHC
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298 Washington St, Gloucester, MA 01930-4832 · (978) 283-0296
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Emily R Kutok
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