Individual provider · Type 1 NPI
Eliza Diane Clontz, LPCC LCADC CSS CCS
Professional Counselor · London, KY
NPI number
1710105762
Active
Practice location
119 Solomon James Ln
London, KY 40744-8192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165015 (KY) |
| Professional Counselor Primary | 101YP2500X | 105747 (KY) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1710105762
Eliza Diane Clontz, LPCC LCADC CSS CCS's National Provider Identifier is 1710105762, issued on Apr 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in London, KY. The record was last updated on Feb 17, 2026.