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Jaqueline Lara
Counselor in Garden Grove, California
NPI 1811440449

Jaqueline Lara is a Counselor based in Garden Grove, CA. Jaqueline Lara practices in Garden Grove, CA. The NPI Number for Jaqueline Lara is 1811440449 and holds a License No. (California).

The current practice location address for Jaqueline Lara is 12755 Brookhurst St, Garden Grove, CA and can be reached out via phone at 714-638-8277.

Location: 12755 Brookhurst St, Garden Grove, CA, 92840-4857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811440449
Provider Name
Jaqueline Lara
Credential
Provider Entity Type
Individual
Gender
Female
Address
12755 Brookhurst St, Garden Grove, CA, 92840-4857
Phone Number
714-638-8277
Fax Number
Provider Enumeration Date
08/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12755 Brookhurst St
City
Garden Grove
State
California
Zip
92840-4857
Phone Number
714-638-8277
Fax Number
person
Provider Business Mailing Address Details
Address
12755 Brookhurst St
City
Garden Grove
State
California
Zip
92840-4857
Phone Number
714-638-8277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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