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Individual

MR. JOHN LARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NCC, LAC, LIAC

Contact information

Practice address
3850 N 16TH STREET, CHANDLER, AZ 85226
(520) 796-3860
Mailing address
400 E EARLL DR UNIT 322, PHOENIX, AZ 85012-0022
(109) 093-7503

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
19160
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19160
AZ

Other

Enumeration date
06/18/2009
Last updated
08/22/2025
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