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Individual

CHRISTINA LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12809 CARPENTER LN, RHOME, TX 76078-6041
(940) 577-4462
Mailing address
12809 CARPENTER LN, RHOME, TX 76078-6041
(940) 577-4462

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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