Individual
MS. LEONOR I LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5850 WATERLOO RD STE 230, COLUMBIA, MD 21045-1943
(410) 757-2077
Mailing address
5850 WATERLOO RD STE 230, COLUMBIA, MD 21045-1943
(410) 757-2077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP7348
MD
101YP2500X
Professional Counselor
Primary
LC12622
MD
101YP2500X
Professional Counselor
LGP7348
MD
Other
Enumeration date
10/13/2020
Last updated
02/19/2026
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