Individual provider · Type 1 NPI
Joe Lara, MHA
Mental Health Counselor · Prestonsburg, KY
NPI number
1487148409
Active
Practice location
104 S Front Ave
Prestonsburg, KY 41653-1614
Fax (606) 886-4433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1487148409
Joe Lara, MHA's National Provider Identifier is 1487148409, issued on Jun 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prestonsburg, KY. The record was last updated on Jun 22, 2018.