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Jacob Lara, LPC
Professional Counselor in San Antonio, Texas
NPI 1891459905

Jacob Lara is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Jacob Lara practices in San Antonio, TX and has the professional credentials of LPC. The NPI Number for Jacob Lara is 1891459905 and holds a License No. 83786 (Texas).

The current practice location address for Jacob Lara is 6333 De Zavala Rd Ste A241, San Antonio, TX and can be reached out via phone at 210-866-3860.

Location: 6333 De Zavala Rd Ste A241, San Antonio, TX, 78249-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891459905
Provider Name
Jacob Lara
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
6333 De Zavala Rd Ste A241, San Antonio, TX, 78249-2115
Phone Number
210-866-3860
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0854226-02 05 TX
institution
Provider Business Practice Location Address Details
Address
6333 De Zavala Rd Ste A241
City
San Antonio
State
Texas
Zip
78249-2115
Phone Number
210-866-3860
Fax Number
person
Provider Business Mailing Address Details
Address
6333 De Zavala Rd Ste A241
City
San Antonio
State
Texas
Zip
78249-2115
Phone Number
210-866-3860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
83786 (Texas)
Definition
Definition to come...
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