Individual
RACHEL LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702-2301
(907) 377-3017
Mailing address
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702-2301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008180
VA
Other
Enumeration date
06/16/2019
Last updated
12/09/2025
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