Individual provider · Type 1 NPI

Juan Jose Lara, MFT

Marriage & Family Therapist · Redondo Beach, CA

NPI number 1982904520 Active

Practice location

901 N Pacific Coast Hwy
Redondo Beach, CA 90277-2162

Call (310) 906-6752 Map

Fax (310) 316-4209

Mailing address

16039 Nordhoff St
North Hills, CA 91343-3041

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC41135 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1982904520

Juan Jose Lara, MFT's National Provider Identifier is 1982904520, issued on Oct 29, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Redondo Beach, CA. The record was last updated on Oct 29, 2010.