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Matthew Aaron Lasslo
Counselor in Page, Arizona
NPI 1003426545

Matthew Aaron Lasslo is a Counselor based in Page, AZ. Matthew Aaron Lasslo practices in Page, AZ. The NPI Number for Matthew Aaron Lasslo is 1003426545 and holds a License No. LAC-17209 (Arizona).

The current practice location address for Matthew Aaron Lasslo is 463 S Lake Powell Blvd, Page, AZ and can be reached out via phone at 928-645-5113 and via fax at 928-645-3254.

Location: 463 S Lake Powell Blvd, Page, AZ, 86040-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003426545
Provider Name
Matthew Aaron Lasslo
Credential
Provider Entity Type
Individual
Gender
Male
Address
463 S Lake Powell Blvd, Page, AZ, 86040-0790
Phone Number
928-645-5113
Fax Number
928-645-3254
Provider Enumeration Date
08/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
463 S Lake Powell Blvd
City
Page
State
Arizona
Zip
86040-0856
Phone Number
928-645-5113
Fax Number
928-645-3254
person
Provider Business Mailing Address Details
Address
463 S Lake Powell Blvd
City
Page
State
Arizona
Zip
86040-0856
Phone Number
928-645-5113
Fax Number
928-645-3254
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-17209 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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