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

Justin Francisco Lara, CADCIIIB00004030425

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184413601

Justin Francisco Lara, CADCIIIB00004030425 is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2772 S Martin L King Jr Blvd
Fresno, CA 93706-5345
Phone: (559) 265-4800
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence B00004030425 (CA)

Record details

NPI number1184413601
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCIIIB00004030425
Sole proprietorNo
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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