person
Mr. Miguel Humberto Lara, MED,LMHC
Mental Health Counselor in Canutillo, Texas
NPI 1497944532

Miguel Humberto Lara is a Mental Health Counselor based in Canutillo, TX and is specialized in Mental Health. Miguel Humberto Lara practices in Canutillo, TX and has the professional credentials of MED,LMHC. The NPI Number for Miguel Humberto Lara is 1497944532 and holds a License No. 0107171 (Texas).

The current practice location address for Miguel Humberto Lara is 6621 Doniphan Dr Ste G, Canutillo, TX and can be reached out via phone at 915-877-5100 and via fax at 915-877-5107.

Location: 6621 Doniphan Dr Ste G, Canutillo, TX, 79835-5005
person
Provider Profile Details
NPI Number
1497944532
Provider Name
Miguel Humberto Lara
Credential
MED,LMHC
Provider Entity Type
Individual
Gender
Male
Address
6621 Doniphan Dr Ste G, Canutillo, TX, 79835-5005
Phone Number
915-877-5100
Fax Number
915-877-5107
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VNM30451NI 05 NM
institution
Provider Business Practice Location Address Details
Address
6621 Doniphan Dr Ste G
City
State
Zip
79835-5005
Phone Number
915-877-5100
Fax Number
915-877-5107
person
Provider Business Mailing Address Details
Address
6621 Doniphan Dr Ste G
City
State
Zip
79835-5005
Phone Number
915-877-5100
Fax Number
915-877-5107
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0107171 (New Mexico)
Definition
Definition to come...
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