ERICA LOUISE LARA

SAN JOSE, CA
NPI1720849912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1461250322)
Enumeration Date2024-01-16
Last Update Date2024-01-16
Business Address
Mrs. ERICA LOUISE LARA RADT #1461250322
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 669-319-2609
Mailing Address
Mrs. ERICA LOUISE LARA RADT #1461250322
1922 THE ALAMEDA STE 316
SAN JOSE, CA 95126-1461
Phone number: 408-261-7777
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