Audrey Lara is a Counselor based in Roswell, NM. Audrey Lara practices in Roswell, NM. The NPI Number for Audrey Lara is 1730409780 and holds a License No. X-06762 (New Mexico).
The current practice location address for Audrey Lara is 3 Pine Pl, Roswell, NM and can be reached out via phone at 575-627-3996.
Location: 3 Pine Pl, Roswell, NM, 88203-1642
Provider Profile Details
NPI Number
1730409780
Provider Name
Audrey Lara
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Pine Pl, Roswell, NM, 88203-1642
Phone Number
575-627-3996
Fax Number
Provider Enumeration Date
06/01/2010
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X-06762 | 01 | NM | PROVISIONAL MASTERS SOCIAL WORKER |
Provider Business Practice Location Address Details
Address
3 Pine Pl
City
State
Zip
88203-1642
Phone Number
575-627-3996
Fax Number
Provider Business Mailing Address Details
Address
3 Pine Pl
City
State
Zip
88203-1642
Phone Number
575-627-3996
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
X-06762 (New Mexico)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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