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Mr. Heraclio Lara JR.
Addiction (Substance Use Disorder) Counselor in Santa Maria, California
NPI 1396943338

Heraclio Lara JR. is an Addiction (Substance Use Disorder) Counselor based in Santa Maria, CA and is specialized in Addiction (Substance Use Disorder). Heraclio Lara JR. practices in Santa Maria, CA. The NPI Number for Heraclio Lara JR. is 1396943338 and holds a License No. (California).

The current practice location address for Heraclio Lara JR. is 519 W Taylor St Spc 319, Santa Maria, CA and can be reached out via phone at 805-925-9811.

Location: 519 W Taylor St Spc 319, Santa Maria, CA, 93458-1048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396943338
Provider Name
Heraclio Lara JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
519 W Taylor St Spc 319, Santa Maria, CA, 93458-1048
Phone Number
805-925-9811
Fax Number
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
519 W Taylor St Spc 319
City
Santa Maria
State
California
Zip
93458-1048
Phone Number
805-925-9811
Fax Number
person
Provider Business Mailing Address Details
Address
519 W Taylor St Spc 319
City
Santa Maria
State
California
Zip
93458-1048
Phone Number
805-925-9811
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.
(California)
Definition
Definition to come...
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