Individual provider · Type 1 NPI

Jessica Lara

Mental Health Counselor · Camarillo, CA

NPI number 1063843522 Active

Practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Fax (805) 383-3692

Mailing address

343 Fulton St
Camarillo, CA 93010-6544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063843522

Jessica Lara's National Provider Identifier is 1063843522, issued on Dec 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Dec 10, 2013.