person
Mrs. Erica Louise Lara, RADT#1461250322
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1720849912

Erica Louise Lara is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Erica Louise Lara practices in San Jose, CA and has the professional credentials of RADT#1461250322. The NPI Number for Erica Louise Lara is 1720849912 and holds a License No. R1461250322 (California).

The current practice location address for Erica Louise Lara is 9505 Malech Dr, San Jose, CA and can be reached out via phone at 669-319-2609.

Location: 9505 Malech Dr, San Jose, CA, 95126-1461
person
Provider Profile Details
NPI Number
1720849912
Provider Name
Erica Louise Lara
Credential
RADT#1461250322
Provider Entity Type
Individual
Gender
Female
Address
9505 Malech Dr, San Jose, CA, 95126-1461
Phone Number
669-319-2609
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9505 Malech Dr
City
State
Zip
95138-2002
Phone Number
669-319-2609
Fax Number
person
Provider Business Mailing Address Details
Address
9505 Malech Dr
City
State
Zip
95138-2002
Phone Number
669-319-2609
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1461250322 (California)
Definition
Definition to come...
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