JUAN JOSE LARA

REDONDO BEACH, CA
NPI1982904520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC41135)
Enumeration Date2010-10-29
Last Update Date2010-10-29
Business Address
-- JUAN JOSE LARA MFT
901 N PACIFIC COAST HWY
REDONDO BEACH, CA 90277-2162
Phone number: 310-906-6752
Mailing Address
-- JUAN JOSE LARA MFT
16039 NORDHOFF ST
NORTH HILLS, CA 91343-3041
Phone number: 818-720-8293
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