Individual provider · Type 1 NPI
Deane Lares
Mental Health Counselor · Santa Ana, CA
NPI number
1548756307
Active
Practice location
1401 N Tustin Ave
Santa Ana, CA 92705-8644
Mailing address
8049 Wendover Dr
Riverside, CA 92509-6130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1548756307
Deane Lares's National Provider Identifier is 1548756307, issued on Jul 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 16, 2020.