Lara, Jaqueline Diane

Lara, Jaqueline Diane is an sole proprietor health care provider with primary practice located at 2026 W Beacon Ave , Anaheim CA 92804-4406. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lara, Jaqueline Diane can be contacted via phone (949) 426-3125.

Contact Information

Primary practice address
2026 W Beacon Ave Anaheim CA 92804-4406
Phone: (949) 426-3125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 123749 California

Profile Details

NPI number 1356791859
LBN Legal business name Lara, Jaqueline Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2016
Last updated Jul 19th, 2022 - about 4 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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