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General NPI Number Information
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NPI Number | 1982207361
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Entity Type | Organization
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Legal Business Name | LANTERN'S LIGHT COUNSELING SERVICES
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 72 E HOLLY AVE STE 107
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City | PITMAN
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State | NJ
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Zip | 08071-1197
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Country | US
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Telephone | 856-818-4477
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Fax | 856-818-4477
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Provider Business Mailing Address
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Address Line | 72 E HOLLY AVE STE 107
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City | PITMAN
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State | NJ
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Zip | 08071-1197
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Country | US
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Telephone | 856-818-4477
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Fax | 856-818-4477
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER IAN FRITZSCHE
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Credential | LCSW
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Telephone | 844-365-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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