Gustavo N/A Lara
Gustavo N/A Lara is a Counselor in Oakland, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
390 40th StOakland, CA 94609-2633
Phone: (510) 610-0330
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1568168706 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 31, 2023 |
| Last updated in NPPES | February 3, 2023 |
| Certification date | February 3, 2023 |
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