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Individual

JESSICA L LASCARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2550 W UNION HILLS DR, PHOENIX, AZ 85027-5163
(323) 205-7088
Mailing address
334 W 35TH ST, SAN PEDRO, CA 90731-6896
(785) 770-2715

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1555
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
723
KS
106H00000X
Marriage & Family Therapist
Primary
15816
AZ
106H00000X
Marriage & Family Therapist
2606
KS

Other

Enumeration date
08/17/2016
Last updated
10/31/2023
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