MR. Martin J. Lara, MACC, LISAC, ALPC, P

NPI #1407987217 in San Luis, Arizona

Provider Information

NPI Number: 1407987217
Entity Type: Individual
Name: MR. Martin J. Lara, MACC, LISAC, ALPC, P
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - School
Credential: MACC, LISAC, ALPC, P
Enumeration Date: Mar 7, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 1453 N MAIN ST. SUITE F
City: San Luis
State: Arizona
ZIP Code: 85349
Phone: (928) 627-6567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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