Individual provider · Type 1 NPI

Lantz William Kilburn

Mental Health Counselor · Gloucester, MA

NPI number 1972185049 Active

Practice location

3 Blackburn Ctr
Gloucester, MA 01930-2268

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972185049

Lantz William Kilburn's National Provider Identifier is 1972185049, issued on Apr 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gloucester, MA. The record was last updated on Apr 27, 2021.