Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaqueline Diane Lara

Individual provider Marriage & Family Therapist · NPI 1356791859

Jaqueline Diane Lara is a Marriage & Family Therapist in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

2026 W Beacon Ave
Anaheim, CA 92804-4406
Phone: (949) 426-3125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 123749 (CA)

Record details

NPI number1356791859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 15, 2016
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

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