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Carol Lynn Lara
Peer Specialist in Bremerton, Washington
NPI 1174055982

Carol Lynn Lara is a Peer Specialist based in Bremerton, WA. Carol Lynn Lara practices in Bremerton, WA. The NPI Number for Carol Lynn Lara is 1174055982 and holds a License No. (Washington).

The current practice location address for Carol Lynn Lara is 5455 Almira Dr Ne, Bremerton, WA and can be reached out via phone at 360-373-5031. You can also correspond with Carol Lynn Lara through the mailing address at 5455 ALMIRA DR NE, BREMERTON, WA - 98311-8330 (mailing address contact number: 360-373-5031).

Location: 5455 Almira Dr Ne, Bremerton, WA, 98311-8330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174055982
Provider Name
Carol Lynn Lara
Credential
Provider Entity Type
Individual
Gender
Female
Address
5455 Almira Dr Ne, Bremerton, WA, 98311-8330
Phone Number
360-373-5031
Fax Number
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3009 01 KITSAP MENTAL HEALTH EMPLOYEE IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
5455 Almira Dr Ne
City
Bremerton
State
Washington
Zip
98311-8330
Phone Number
360-373-5031
Fax Number
person
Provider Business Mailing Address Details
Address
5455 Almira Dr Ne
City
Bremerton
State
Washington
Zip
98311-8330
Phone Number
360-373-5031
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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