Individual provider · Type 1 NPI

Rogelio Lara, ADES, CADCII

Addiction (Substance Use Disorder) Counselor · Ontario, OR

NPI number 1073644464 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Fax (541) 889-7873

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 1073644464

Rogelio Lara, ADES, CADCII's National Provider Identifier is 1073644464, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ontario, OR. The record was last updated on Jul 8, 2007.