Provider Demographics
NPI:1871278903
Name:LENZ, KIERSTEN LOUISE (LPC)
Entity type:Individual
Prefix:MRS
First Name:KIERSTEN
Middle Name:LOUISE
Last Name:LENZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KIERSTEN
Other - Middle Name:LOUISE
Other - Last Name:DIMINICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 GALE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2620
Mailing Address - Country:US
Mailing Address - Phone:717-829-5585
Mailing Address - Fax:
Practice Address - Street 1:19 GALE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2620
Practice Address - Country:US
Practice Address - Phone:717-829-5585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional