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Jose Graciel Lara
Mental Health Counselor in Decatur, Georgia
NPI 1528848256

Jose Graciel Lara is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Jose Graciel Lara practices in Decatur, GA. The NPI Number for Jose Graciel Lara is 1528848256 and holds a License No. (Georgia).

The current practice location address for Jose Graciel Lara is 120 E Trinity Pl, Decatur, GA and can be reached out via phone at 404-378-2300.

Location: 120 E Trinity Pl, Decatur, GA, 30030-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528848256
Provider Name
Jose Graciel Lara
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 E Trinity Pl, Decatur, GA, 30030-3302
Phone Number
404-378-2300
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 E Trinity Pl
City
Decatur
State
Georgia
Zip
30030-3302
Phone Number
404-378-2300
Fax Number
person
Provider Business Mailing Address Details
Address
120 E Trinity Pl
City
Decatur
State
Georgia
Zip
30030-3302
Phone Number
404-378-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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