person
Mrs. Elba Iris Lara, MSW,CADC
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1578706479

Elba Iris Lara is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Elba Iris Lara practices in Chicago, IL and has the professional credentials of MSW,CADC. The NPI Number for Elba Iris Lara is 1578706479 and holds a License No. (Illinois).

The current practice location address for Elba Iris Lara is 1116 N Kedzie Ave, Chicago, IL and can be reached out via phone at 773-772-8009 and via fax at 773-292-5490.

Location: 1116 N Kedzie Ave, Chicago, IL, 60651-4152
person
Provider Profile Details
NPI Number
1578706479
Provider Name
Elba Iris Lara
Credential
MSW,CADC
Provider Entity Type
Individual
Gender
Female
Address
1116 N Kedzie Ave, Chicago, IL, 60651-4152
Phone Number
773-772-8009
Fax Number
773-292-5490
Provider Enumeration Date
04/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1116 N Kedzie Ave
City
State
Zip
60651-4152
Phone Number
773-772-8009
Fax Number
773-292-5490
person
Provider Business Mailing Address Details
Address
1116 N Kedzie Ave
City
State
Zip
60651-4152
Phone Number
773-772-8009
Fax Number
773-292-5490
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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