JACQUELINE LARA

WACO, TX
NPI1699561001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17317)
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
JACQUELINE LARA LCDC
2220 AUSTIN AVE
WACO, TX 76701-1625
Phone number: 254-297-8999
Mailing Address
JACQUELINE LARA LCDC
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-3451
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