Individual provider · Type 1 NPI

Gustavo Lara

Addiction (Substance Use Disorder) Counselor · Delano, CA

NPI number 1790482016 Active

Practice location

355 Dover Pkwy
Delano, CA 93215-3440

Call (661) 725-2788 Map

Other practice locations

  • 1019 Jefferson St, Delano, CA 93215-2238 · (661) 721-0463

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI47040425 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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

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About NPI 1790482016

Gustavo Lara's National Provider Identifier is 1790482016, issued on Feb 8, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Delano, CA. The record was last updated on Sep 29, 2026.