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Contact Information

HECTOR LARA, M.S.W.
14130 LAKESHORE DR.
CLEARLAKE, CA95422
 Phone: 707-272-8707
 Fax: 707-995-1847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for HECTOR LARA · (Male)

NPI Number 1164655247
Status Active
Credentials M.S.W. (Master of Science in Social Work)
Entity Individual
Enumeration date 08/24/2009
Last updated 08/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 29325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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