Individual
GUADALUPE LASCANO-MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
760 WEST MOUNTAIN VIEW ST, ALTADENA, CA 91001
(626) 798-6793
Mailing address
760 WEST MOUNTAIN VIEW ST, ALTADENA, CA 91001
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
05/08/2008
Last updated
12/23/2014
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