| Lantern's Light Counseling Services | |
|
140 S Broadway Ste 7 Pitman NJ 08071-2235 | |
| (844) 365-7676 | |
| (844) 365-7676 |
| Full Name | Lantern's Light Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 140 S Broadway Ste 7, Pitman, New Jersey |
| Authorized Official Name and Position | Christopher Ian Fritzsche (OWNER) |
| Authorized Official Contact | 8443657676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantern's Light Counseling Services 140 S Broadway Ste 7 Pitman NJ 08071-2235 Ph: (844) 365-7676 | Lantern's Light Counseling Services 140 S Broadway Ste 7 Pitman NJ 08071-2235 Ph: (844) 365-7676 |
| NPI Number | 1982207361 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Medicare PECOS PAC ID | 8729490768 |
|---|---|
| Medicare Enrollment ID | O20201215002415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982207361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher I Fritzsche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437718970 PECOS PAC ID: 4587091681 Enrollment ID: I20200303000134 |
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