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Ms. Lysmar Karina Cancho I
Addiction (Substance Use Disorder) Counselor in Lakeland, Florida
NPI 1558143586

Lysmar Karina Cancho I is an Addiction (Substance Use Disorder) Counselor based in Lakeland, FL and is specialized in Addiction (Substance Use Disorder). Lysmar Karina Cancho I practices in Lakeland, FL. The NPI Number for Lysmar Karina Cancho I is 1558143586 and holds a License No. (Florida).

The current practice location address for Lysmar Karina Cancho I is 1510 Commercial Park Dr, Lakeland, FL and can be reached out via phone at 863-345-8090.

Location: 1510 Commercial Park Dr, Lakeland, FL, 33801-6569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558143586
Provider Name
Lysmar Karina Cancho I
Credential
Provider Entity Type
Individual
Gender
Female
Address
1510 Commercial Park Dr, Lakeland, FL, 33801-6569
Phone Number
863-345-8090
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1510 Commercial Park Dr
City
Lakeland
State
Florida
Zip
33801-6569
Phone Number
863-345-8090
Fax Number
person
Provider Business Mailing Address Details
Address
1510 Commercial Park Dr
City
Lakeland
State
Florida
Zip
33801-6569
Phone Number
863-345-8090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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