Carissa Ariel Lataillade, LMFT
NPI #1144862384 in Canyon Country, California
Provider Information
- NPI Number
- 1144862384
- Entity Type
- Individual
- Name
- Carissa Ariel Lataillade, LMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Oct 9, 2019
- Last Updated
- Feb 10, 2024
Practice Location
- Address
- 20201 FAIRWEATHER ST
- City
- Canyon Country
- State
- California
- ZIP Code
- 91351-1050
- Phone
- (661) 655-2779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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