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Gustavo Lara
Addiction (Substance Use Disorder) Counselor in Visalia, California
NPI 1790482016

Gustavo Lara is an Addiction (Substance Use Disorder) Counselor based in Visalia, CA and is specialized in Addiction (Substance Use Disorder). Gustavo Lara practices in Visalia, CA. The NPI Number for Gustavo Lara is 1790482016 and holds a License No. (California).

The current practice location address for Gustavo Lara is 1731 W Walnut Ave, Visalia, CA and can be reached out via phone at 559-732-4885.

Location: 1731 W Walnut Ave, Visalia, CA, 93277-6232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790482016
Provider Name
Gustavo Lara
Credential
Provider Entity Type
Individual
Gender
Male
Address
1731 W Walnut Ave, Visalia, CA, 93277-6232
Phone Number
559-732-4885
Fax Number
Provider Enumeration Date
02/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1731 W Walnut Ave
City
Visalia
State
California
Zip
93277-6232
Phone Number
559-732-4885
Fax Number
person
Provider Business Mailing Address Details
Address
1731 W Walnut Ave
City
Visalia
State
California
Zip
93277-6232
Phone Number
559-732-4885
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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