Most Relevant Information
Provider Data
NPI Number: | 1003524042 |
Provider Name: | KASEY LAFFERTY MSC |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | LMFT124789 |
Most Important Dates
Enumeration Date: | 11/08/2022 |
Last Updated: | 02/15/2024 |
Provider Practice Location
11740 SAN VICENTE BLVD STE 109-189
LOS ANGELES
CA
900496610
Practice Location Phone/Fax
Phone: | 4242348250 |
Fax: |
Provider Mailing Location
11740 SAN VICENTE BLVD STE 109-189
LOS ANGELES
CA
900496610
Provider Mailing Phone/Fax
Phone: | 4242348250 |
Fax: |