Lara, Carrie Anne
Lara, Carrie Anne is an individual health care provider with primary practice located at 3558 Round Barn Blvd , Santa Rosa CA 95403-1780. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Lara, Carrie Anne can be contacted via phone (707) 571-2581.Contact Information
Primary practice address
3558 Round Barn Blvd
Santa Rosa CA 95403-1780
Phone: (707) 571-2581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 25381 | California |
Profile Details
| NPI number | 1386796886 |
|---|---|
| LBN Legal business name | Lara, Carrie Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Feb 3rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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