Individual provider · Type 1 NPI

Jose Graciel Lara

Mental Health Counselor · Decatur, GA

NPI number 1528848256 Active

Practice location

120 E Trinity Pl
Decatur, GA 30030-3302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1528848256

Jose Graciel Lara's National Provider Identifier is 1528848256, issued on Oct 2, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Oct 2, 2023.