Organization
LASSITER COUNSELING SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK LASSITER JR. (OWNER/PROFESSIONAL COUNSELOR)
(520) 591-8721
Entity
Organization
Contact information
Practice address
350 S WILLIAMS BLVD, SUITE 260, TUCSON, AZ 85711-4496
(520) 591-8721
Mailing address
350 S WILLIAMS BLVD, SUITE 260, TUCSON, AZ 85711-4496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-15355
AZ
101YP2500X
Professional Counselor
LPC-15355
AZ
101YS0200X
School Counselor
LPC-15355
AZ
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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