Individual
MS. LARA ANN VON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5597 AISEK ST, JUNEAU, AK 99801-9522
(907) 780-3048
(907) 780-3053
Mailing address
5597 AISEK ST, JUNEAU, AK 99801-9522
(907) 780-3048
(907) 780-3053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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