Andromeda Lascano
Andromeda Lascano is a Marriage and Family Therapist in Modesto, California. Qualified in 2014, 12 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 12
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
3425 Coffee Rd Ste A2Modesto, CA 95355-1582
Phone: (209) 524-9401
Fax: (209) 491-7584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 — (209) 526-1476
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence LMFT133104 (CA) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X |
Record details
| NPI number | 1245752575 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 7, 2017 |
| Last updated in NPPES | December 28, 2023 |
| Certification date | December 28, 2023 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Sutter Valley Medical Foundation — 2464 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
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