Provider Demographics
NPI:1689847477
Name:LENTZ, CHRISTOPHER BYRANT (MFT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BYRANT
Last Name:LENTZ
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 RIDGEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-6004
Mailing Address - Country:US
Mailing Address - Phone:916-316-9293
Mailing Address - Fax:
Practice Address - Street 1:1430 RIDGEVIEW CIR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-6004
Practice Address - Country:US
Practice Address - Phone:916-316-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42833106H00000X
CA46982106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist