Individual provider · Type 1 NPI
Ann Marie Lara
Addiction (Substance Use Disorder) Counselor · Pomona, CA
NPI number
1629434162
Active
Practice location
629 W 8th St
Pomona, CA 91766-3013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 061282 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629434162
Ann Marie Lara's National Provider Identifier is 1629434162, issued on Jan 13, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Jan 13, 2016.