GUSTAVO LARA

VISALIA, CA
NPI1790482016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-02-08
Last Update Date2023-02-08
Business Address
GUSTAVO LARA
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-732-4885
Mailing Address
GUSTAVO LARA
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-732-4885
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