MISS Jackeline Laura Lara, LMHC
NPI #1366157224 in Mount Dora, Florida
Provider Information
- NPI Number
- 1366157224
- Entity Type
- Individual
- Name
- MISS Jackeline Laura Lara, LMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC
- Enumeration Date
- Jan 16, 2023
- Last Updated
- Jan 16, 2023
Practice Location
- Address
- 440 ROYELLOU LN STE 207
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-5520
- Phone
- (786) 294-3186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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