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

Mrs. Erica Louise Lara, RADT1461250322

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720849912

Mrs. Erica Louise Lara, RADT1461250322 is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

9505 Malech Dr
San Jose, CA 95138-2002
Phone: (669) 319-2609
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 R1461250322 (CA)

Record details

NPI number1720849912
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT1461250322
Sole proprietorNo
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

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