Individual
SUSAN YAP LASSITER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
288 N IRONWOOD DR, 110, APACHE JUNCTION, AZ 85220-3830
(480) 982-2356
Mailing address
7452 E KIOWA AVE, MESA, AZ 85209-6239
(480) 250-6602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3684
NC
101YP2500X
Professional Counselor
Primary
LPC-10907
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159731
MHN MANAGED CARE PANEL
AZ
01
—
426315
VALUE OPTIONS PROVIDER
AZ
Enumeration date
09/07/2005
Last updated
07/08/2007
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