Rogelio Lara, ADES, CADCII

NPI #1073644464 in Ontario, Oregon

Provider Information

NPI Number
1073644464
Entity Type
Individual
Name
Rogelio Lara, ADES, CADCII
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
ADES, CADCII
Enumeration Date
Mar 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
702 SUNSET DR
State
Oregon
ZIP Code
97914-3121
Phone
(541) 889-9167

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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