Individual
DR. MITCHELL STUART LASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(755) 688-2133
(755) 688-2081
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(755) 688-2133
(755) 688-2081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CCMH0195201
NM
101YM0800X
Mental Health Counselor
MHC249
HI
101YM0800X
Mental Health Counselor
Primary
—
NV
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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