Individual
CARLA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
496 S BARTON AVE, FRESNO, CA 93702-2985
(559) 860-4422
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/21/2021
Last updated
11/09/2022
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