Jantz, Gregory L

Jantz, Gregory L is an individual health care provider with primary practice located at 547 Dayton St , Edmonds WA 98020-3431. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jantz, Gregory L can be contacted via phone (425) 771-5166.

Contact Information

Primary practice address
547 Dayton St Edmonds WA 98020-3431
Phone: (425) 771-5166
Fax: (425) 670-2807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00001414 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00006812 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-P-146 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 467 Colorado

Profile Details

NPI number 1407987175
LBN Legal business name Jantz, Gregory L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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