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Organization
LASCANO PROFESSIONAL SERVICES
Active
Organization
LASCANO PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LASCANO MFT (CO-OWNER)
(323) 256-9906
Entity
Organization
Contact information
Practice address
4368 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3211
(323) 256-9906
(323) 256-9916
Mailing address
4368 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3211
(323) 256-9906
(323) 256-9916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC23364
CA
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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