ANDROMEDA LASCANO

MODESTO, CA
NPI1245752575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT133104)
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2017-07-07
Last Update Date2023-12-28
Business Address
ANDROMEDA LASCANO
3425 COFFEE RD STE A2
MODESTO, CA 95355-1582
Phone number: 209-524-9401
Mailing Address
ANDROMEDA LASCANO
3425 COFFEE RD STE A2
MODESTO, CA 95355-1582
Phone number: 209-524-9401