Individual provider · Type 1 NPI

Lara Loughlin

Mental Health Counselor · Fairview, OR

NPI number 1124493382 Active

Practice location

1945 NE 205th Ave
Fairview, OR 97024-9622

Call (541) 858-8170 Map

Fax (541) 858-8167

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1124493382

Lara Loughlin's National Provider Identifier is 1124493382, issued on Dec 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview, OR. The record was last updated on Mar 31, 2023.