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Jessica Victoria Lara
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1033987458

Jessica Victoria Lara is an Addiction (Substance Use Disorder) Counselor based in Madera, CA and is specialized in Addiction (Substance Use Disorder). Jessica Victoria Lara practices in Fresno, CA. The NPI Number for Jessica Victoria Lara is 1033987458 and holds a License No. (California).

The current practice location address for Jessica Victoria Lara is 4411 N Cedar Ave, Fresno, CA and can be reached out via phone at 559-248-1548.

Location: 4411 N Cedar Ave, Fresno, CA, 93637-8629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033987458
Provider Name
Jessica Victoria Lara
Credential
Provider Entity Type
Individual
Gender
Female
Address
4411 N Cedar Ave, Fresno, CA, 93637-8629
Phone Number
559-248-1548
Fax Number
Provider Enumeration Date
12/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4411 N Cedar Ave
City
Fresno
State
California
Zip
93726-2538
Phone Number
559-248-1548
Fax Number
person
Provider Business Mailing Address Details
Address
4411 N Cedar Ave
City
Fresno
State
California
Zip
93726-2538
Phone Number
559-248-1548
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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