Individual provider · Type 1 NPI

Ellen Lara, MA

Counselor · New Bedford, MA

NPI number 1013124155 Active

Practice location

30-32R Gifford St
New Bedford, MA 02744

Fax (508) 991-8579

Mailing address

PO Box 2097
New Bedford, MA 02741-2097

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1013124155

Ellen Lara, MA's National Provider Identifier is 1013124155, issued on May 17, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New Bedford, MA. The record was last updated on Jul 8, 2007.