VICTOR D LARA

EL CENTRO, CA
NPI1952187718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15295)
Enumeration Date2023-09-06
Last Update Date2023-09-06
Business Address
VICTOR D LARA
2695 S 4TH ST FL 1
EL CENTRO, CA 92243-6012
Phone number: 442-265-7650
Mailing Address
VICTOR D LARA
202 N 8TH ST
EL CENTRO, CA 92243-2302
Phone number: 442-265-1525
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