Individual
ALEJANDRA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 901-4800
(520) 901-4700
Mailing address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 901-4800
(520) 901-4700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW15474
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMSW15474
AZ
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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