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Organization
LASEY'S PSYCHOTHERAPY SERVICES, INC
Active
Organization
LASEY'S PSYCHOTHERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONIQUE LASEY GARY LCSW (OWNER)
(562) 205-8846
Entity
Organization
Contact information
Practice address
1232 E WARDLOW RD, LONG BEACH, CA 90807-4833
(562) 205-8846
Mailing address
1232 E WARDLOW RD, LONG BEACH, CA 90807-4833
(562) 205-8846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS29611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
MENTAL HEALTH
CA
Enumeration date
08/15/2018
Last updated
08/15/2018
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