MISS ELISA LARA CADC-CAS NPI 1578753950

NPI Information

NPI: 1578753950
Provider Name: MISS ELISA LARA, CADC-CAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
40 W G ST STE C
LOS BANOS, CA
ZIP 93635
Phone: (209) 710-6100
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MISS Elisa Lara, CADC-CAS is an addiction (substance use disorder) counselor in Los Banos, CA. MISS Elisa Lara, CADC-CAS NPI is 1578753950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 W G ST STE C
LOS BANOS, CA
ZIP 93635-657
Phone: (209) 710-6100
Fax: (209) 827-2009

The enumeration date for this NPI number is 7/31/2007 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C13861214	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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