MATHEW LARA

SANTA ANA, CA
NPI1821342056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  109824)
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
(Licence: CA  90062)
104100000X Social Worker
(Licence: CA  90062)
Enumeration Date2012-11-09
Last Update Date2023-01-09
Business Address
MATHEW LARA
1801 PARK COURT PL BLDG H
SANTA ANA, CA 92701-5028
Phone number: 714-957-1004
Mailing Address
MATHEW LARA
1801 PARK COURT PL BLDG H
SANTA ANA, CA 92701-5028
Phone number: 714-957-1004