Individual provider · Type 1 NPI

Justin Francisco Lara, CADCIII:B00004030425

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1184413601 Active

Practice location

2772 S Martin L King Jr Blvd
Fresno, CA 93706-5345

Call (559) 265-4800 Map

Mailing address

1700 Sunnyside Ave Apt 106
Clovis, CA 93611-2940

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB00004030425 (CA)

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

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About NPI 1184413601

Justin Francisco Lara, CADCIII:B00004030425's National Provider Identifier is 1184413601, issued on May 1, 2025. 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 May 1, 2025.