Carolyn Jean Clontz, LMFT, LCDC is a
Marriage & Family Therapist based in Azle, Texas. Carolyn Jean Clontz is licensed to practice in Texas (license number 203099) and her current practice location is
1075 Admiral Dr, Azle, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 403-8215.
NPI number for Carolyn Jean Clontz is 1215428974 and her current mailing address is 1075 Admiral Dr, Azle, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215428974.
Healthcare Provider's Profile
Full Name | Carolyn Jean Clontz |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1075 Admiral Dr, Azle, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215428974
- Provider Enumeration Date: 05/29/2018
- Last Update Date: 06/22/2021
Medical Identifiers
Medical identifiers for Carolyn Jean Clontz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215428974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15348 (Texas) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 203099 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Jean Clontz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn Jean Clontz, LMFT, LCDC 1075 Admiral Dr, Azle, TX 76020-2958 Ph: (817) 403-8215 | Carolyn Jean Clontz, LMFT, LCDC 1075 Admiral Dr, Azle, TX 76020-2958 Ph: (817) 403-8215 |
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