Individual
MARIE RICHELLE LASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11148 N TRAPUNTO LN, MONROVIA, IN 46157-6114
(765) 341-8410
Mailing address
11148 N TRAPUNTO LN, MONROVIA, IN 46157-6114
(765) 341-8410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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