Individual
DR. CARMEN DANIELLE LASBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA; PSYD
Contact information
Practice address
3417 FREMONT AVE N, 317, SEATTLE, WA 98103-3411
(206) 300-2452
(206) 547-5298
Mailing address
3417 FREMONT AVE N STE 305, SEATTLE, WA 98103-3411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC 60462365
WA
103T00000X
Psychologist
Primary
PY60654578
WA
Other
Enumeration date
06/19/2015
Last updated
06/02/2017
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