Individual provider · Type 1 NPI

Jessica Victoria Lara

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1033987458 Active

Practice location

4411 N Cedar Ave
Fresno, CA 93726-2538

Call (559) 248-1548 Map

Mailing address

2937 Glade Ave
Madera, CA 93637-8629

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033987458

Jessica Victoria Lara's National Provider Identifier is 1033987458, issued on Dec 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Dec 14, 2023.