Individual
ALISSA M LASTRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
524 NORTHAMPTON ST, EASTON, PA 18042-3517
(610) 600-9714
Mailing address
371 HILLVIEW DR, NAZARETH, PA 18064-8540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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