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Lara Withop
Mental Health Counselor in Lakeport, California
NPI 1649680257

Lara Withop is a Mental Health Counselor based in Lakeport, CA and is specialized in Mental Health. Lara Withop practices in Lakeport, CA. The NPI Number for Lara Withop is 1649680257 and holds a License No. 75305 (California).

The current practice location address for Lara Withop is 1152 S Main St, Lakeport, CA and can be reached out via phone at 707-263-8795.

Location: 1152 S Main St, Lakeport, CA, 95453-5517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649680257
Provider Name
Lara Withop
Credential
Provider Entity Type
Individual
Gender
Female
Address
1152 S Main St, Lakeport, CA, 95453-5517
Phone Number
707-263-8795
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1152 S Main St
City
Lakeport
State
California
Zip
95453-5517
Phone Number
707-263-8795
Fax Number
person
Provider Business Mailing Address Details
Address
1152 S Main St
City
Lakeport
State
California
Zip
95453-5517
Phone Number
707-263-8795
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
75305 (California)
Definition
Definition to come...
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