Individual
CAROL M LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
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
17239
CA
101YP2500X
Professional Counselor
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Enumeration date
09/28/2018
Last updated
06/30/2025
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