Individual
JUDITH LESCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1215 MANATEE AVE W STE 107, BRADENTON, FL 34205-7517
(941) 404-6006
Mailing address
11161 EAST SR70, UNIT 110-887, LAKEWOOD RANCH, FL 34202
(941) 404-6006
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MH21893
FL
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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