JUSTIN LACSON

SAN MATEO, CA
NPI1245598861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-05-02
Last Update Date2012-05-02
Business Address
-- JUSTIN LACSON
2251 PALM AVENUE
SAN MATEO, CA 94401
Phone number: 650-513-6500
Mailing Address
-- JUSTIN LACSON
2251 PALM AVENUE
SAN MATEO, CA 94401
Phone number: 650-513-6500