Individual
JOHN LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W ORANGE GROVE RD STE 604, TUCSON, AZ 85704-1141
(520) 229-6220
(520) 544-3033
Mailing address
2001 W ORANGE GROVE RD STE 612, TUCSON, AZ 85704-1141
(520) 229-6220
(520) 544-3033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17308
AZ
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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