Individual
ALISON BRYN LASOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1600 MAIN ST, VENICE, CA 90291-3626
(818) 324-2875
Mailing address
550 S BARRINGTON AVE APT 4315, LOS ANGELES, CA 90049-4343
(818) 324-2875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
88188
CA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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