Individual
SHANTERRIA L LAZARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MHA
Contact information
Practice address
1991 APOPKA BLVD, APOPKA, FL 32703-7622
(407) 884-2125
Mailing address
1991 APOPKA BLVD, APOPKA, FL 32703-7622
(407) 884-2125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
658870
—
FL
Enumeration date
07/29/2022
Last updated
07/29/2022
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