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Andrew Lazo

Counselor, Mental Health in Garden Grove, CA. Individual provider (NPI-1).

NPI number1407242001
StatusActive
Last updated in NPPESApr 9, 2015

Details

NPI
1407242001
Entity type
Individual (NPI-1)
Name
Mr. Andrew Lazo
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 9, 2015
Last updated
Apr 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

12800 Garden Grove Blvd Ste F
Garden Grove, CA 92843-2008

Phone 714-620-8131

Mailing address

12800 Garden Grove Blvd Ste F
Garden Grove, CA 92843

Phone 714-620-8131

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