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Organization
CAROL M LAZO, LICENSED PROFESSIONAL CLINICAL COUNSELOR P.C.
Active
Organization
CAROL M LAZO, LICENSED PROFESSIONAL CLINICAL COUNSELOR P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M LAZO LPCC (PRESIDENT)
(424) 488-6422
Entity
Organization
Contact information
Practice address
720 WILSHIRE BLVD STE 204, SANTA MONICA, CA 90401-1737
(424) 488-6422
(213) 652-6332
Mailing address
13389 FOLSOM BLVD, #200, FOLSOM, CA 95630
(424) 488-6422
(213) 652-6332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Enumeration date
06/28/2025
Last updated
07/08/2025
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