Individual provider · Type 1 NPI

Maria Estela Lara

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1053610022 Active

Practice location

614 Tully Rd
San Jose, CA 95111-1048

Fax (408) 977-1136

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XN9979486 (CA)

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

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About NPI 1053610022

Maria Estela Lara's National Provider Identifier is 1053610022, issued on Mar 16, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Mar 16, 2011.