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Maria Estela Lara
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1053610022

Maria Estela Lara is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Maria Estela Lara practices in San Jose, CA. The NPI Number for Maria Estela Lara is 1053610022 and holds a License No. N9979486 (California).

The current practice location address for Maria Estela Lara is 614 Tully Rd, San Jose, CA and can be reached out via phone at 408-977-1591 and via fax at 408-977-1136.

Location: 614 Tully Rd, San Jose, CA, 95111-1048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053610022
Provider Name
Maria Estela Lara
Credential
Provider Entity Type
Individual
Gender
Female
Address
614 Tully Rd, San Jose, CA, 95111-1048
Phone Number
408-977-1591
Fax Number
408-977-1136
Provider Enumeration Date
03/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
614 Tully Rd
City
San Jose
State
California
Zip
95111-1048
Phone Number
408-977-1591
Fax Number
408-977-1136
person
Provider Business Mailing Address Details
Address
614 Tully Rd
City
San Jose
State
California
Zip
95111-1048
Phone Number
408-977-1591
Fax Number
408-977-1136
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
N9979486 (California)
Definition
Definition to come...
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