Individual
MS. AMANDA S LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8770 CORONA ST, APT 104, DENVER, CO 80229-4736
(970) 302-4232
Mailing address
8770 CORONA ST, APT 104, DENVER, CO 80229-4736
(970) 302-4232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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