person
Andrew Anthony Lara
Mental Health Counselor in Fairbanks, Alaska
NPI 1073130720

Andrew Anthony Lara is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Andrew Anthony Lara practices in Fairbanks, AK. The NPI Number for Andrew Anthony Lara is 1073130720 and holds a License No. (Alaska).

The current practice location address for Andrew Anthony Lara is 1825 Marika Rd, Fairbanks, AK and can be reached out via phone at 907-488-0890 and via fax at 907-474-3621. You can also correspond with Andrew Anthony Lara through the mailing address at 1825 MARIKA RD, FAIRBANKS, AK - 99709-5521 (mailing address contact number: 907-474-0890).

Location: 1825 Marika Rd, Fairbanks, AK, 99709-5521
person
Provider Profile Details
NPI Number
1073130720
Provider Name
Andrew Anthony Lara
Credential
Provider Entity Type
Individual
Gender
Male
Address
1825 Marika Rd, Fairbanks, AK, 99709-5521
Phone Number
907-488-0890
Fax Number
907-474-3621
Provider Enumeration Date
06/29/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MH3237 05 AK
institution
Provider Business Practice Location Address Details
Address
1825 Marika Rd
City
State
Zip
99709-5521
Phone Number
907-488-0890
Fax Number
907-474-3621
person
Provider Business Mailing Address Details
Address
1825 Marika Rd
City
State
Zip
99709-5521
Phone Number
907-488-0890
Fax Number
907-474-3621
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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