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NPI Code Detail

MEDICARE: NATASHA SABRINA LENTNER ALMFT

MEDICARE: NATASHA SABRINA LENTNER ALMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist208.000647IL
2106H00000XMarriage & Family Therapist166.001389IL

General Provider Information

NPI Number : 1720604648
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA SABRINA LENTNER ALMFT
Provider Business Mailing Address
First Line : 3650 183RD ST
Second Line :
City : HOMEWOOD
State : IL
Zip : 60430-2633
Country : US
Telephone Number : 708-957-4597
Fax Number : 708-957-4821
Provider Business Practice Location Address
First Line : 8745 W HIGGINS RD STE 110
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2753
Country : US
Telephone Number : 708-274-7991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 06/20/2022

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