Individual
MRS. KRISTEN M LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
600 GETTY AVE, CLIFTON, NJ 07011-2161
(201) 665-3066
Mailing address
47 S MOUNTAIN AVE, CEDAR GROVE, NJ 07009-2118
(201) 207-8106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00552200
NJ
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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