NPI | 1386107258 |
---|---|
Doing Business As | HANNAH VONTZ, MS.ED., LMHP, CPC |
Entity Type | Organization |
Authorized Contact | HANNAH KATHRYN COUILLARD Therapist 308-340-5802 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2020-03-12 |