Juan Jose Lara, MFT
NPI #1982904520 in Redondo Beach, California
Provider Information
- NPI Number
- 1982904520
- Entity Type
- Individual
- Name
- Juan Jose Lara, MFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT
- Enumeration Date
- Oct 29, 2010
- Last Updated
- Oct 29, 2010
Practice Location
- Address
- 901 N PACIFIC COAST HWY
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-2162
- Phone
- (310) 906-6752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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