Individual provider · Type 1 NPI

Jessica Lara

Addiction (Substance Use Disorder) Counselor · Santa Clarita, CA

NPI number 1720550874 Active

Practice location

22519 Garzota Dr
Santa Clarita, CA 91350-2247

Call (818) 383-3201 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1328991118 (CA)

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

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About NPI 1720550874

Jessica Lara's National Provider Identifier is 1720550874, issued on Dec 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Clarita, CA. The record was last updated on Dec 28, 2018.