Individual
ANTHONY J LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 TUOLUMNE ST, VALLEJO, CA 94589-2524
(707) 558-1777
(707) 558-1770
Mailing address
2117 NAPA ST, VALLEJO, CA 94590-3231
(707) 558-1777
(707) 558-1770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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