Individual
ANDREW LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2635 CAMINO DEL RIO S STE 211, SAN DIEGO, CA 92108-3729
(619) 786-1356
Mailing address
6393 BADGER LAKE AVE, SAN DIEGO, CA 92119-3316
(619) 272-1522
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
80886
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/19/2009
Last updated
03/04/2019
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