Individual
STEPHANIE MICHELLE HUEZO-LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14624 SHERMAN WAY STE 508, VAN NUYS, CA 91405-2289
(818) 908-4990
Mailing address
14624 SHERMAN WAY STE 508, VAN NUYS, CA 91405-2289
(818) 908-4990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13767
CA
101YP2500X
Professional Counselor
7165
CA
101YP2500X
Professional Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/08/2019
Last updated
04/24/2023
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