KEVIN PHILLIP LASTING

LOS ANGELES, CA
NPI1386462984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  150173)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
KEVIN PHILLIP LASTING AMFT
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
Mailing Address
KEVIN PHILLIP LASTING AMFT
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223