Individual provider · Type 1 NPI

Kimberly Michelle Lasack

Mental Health Counselor · Lemon Grove, CA

NPI number 1689959017 Active

Practice location

3434 Grove St
Lemon Grove, CA 91945-1812

Call (619) 281-3706 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689959017

Kimberly Michelle Lasack's National Provider Identifier is 1689959017, issued on Oct 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lemon Grove, CA. The record was last updated on Oct 17, 2011.