Individual provider · Type 1 NPI

Stephen Edward Lasicka

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1336352301 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Call (818) 996-1051 Map

Mailing address

8939 Mclennan Ave
Northridge, CA 91343-4009

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1336352301

Stephen Edward Lasicka's National Provider Identifier is 1336352301, issued on May 7, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Oct 22, 2007.