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Miss Elisa Lara, CADC-CAS
Addiction (Substance Use Disorder) Counselor in Los Banos, California
NPI 1578753950

Elisa Lara is an Addiction (Substance Use Disorder) Counselor based in Merced, CA and is specialized in Addiction (Substance Use Disorder). Elisa Lara practices in Los Banos, CA and has the professional credentials of CADC-CAS. The NPI Number for Elisa Lara is 1578753950 and holds a License No. C13861214 (California).

The current practice location address for Elisa Lara is 40 W G St Ste C, Los Banos, CA and can be reached out via phone at 209-710-6100 and via fax at 209-827-2009.

Location: 40 W G St Ste C, Los Banos, CA, 95344-0087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578753950
Provider Name
Elisa Lara
Credential
CADC-CAS
Provider Entity Type
Individual
Gender
Female
Address
40 W G St Ste C, Los Banos, CA, 95344-0087
Phone Number
209-710-6100
Fax Number
209-827-2009
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 W G St Ste C
City
Los Banos
State
California
Zip
93635-3657
Phone Number
209-710-6100
Fax Number
209-827-2009
person
Provider Business Mailing Address Details
Address
40 W G St Ste C
City
Los Banos
State
California
Zip
93635-3657
Phone Number
209-710-6100
Fax Number
209-827-2009
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C13861214 (California)
Definition
Definition to come...
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