Andrew Anthony Lara

NPI #1073130720 in Fairbanks, Alaska

Provider Information

NPI Number
1073130720
Entity Type
Individual
Name
Andrew Anthony Lara
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 29, 2020
Last Updated
Jun 29, 2020

Practice Location

Address
1825 MARIKA RD
State
Alaska
ZIP Code
99709-5521
Phone
(907) 488-0890

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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