GABRIELA LARA
NPI 1619495785
Counselor - Mental Health in Waukegan, IL
Active since September 08, 2017
About Gabriela Lara NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELA LARA (NPI 1619495785) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since September 2017.
NPPES Registry Identity
NPI1619495785
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGABRIELA LARA
Location Address329 N GENESEE STWaukegan, IL 60085-4205
Mailing Address2728 W Vermont AveWaukegan, IL 60087-3646
Phone(847) 623-1730
Sole ProprietorNo
Enumeration DateSeptember 8, 2017
✔ NPI 1619495785 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
329 N GENESEE ST, Waukegan, IL 60085
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
329 N GENESEE ST
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619495785, enumerated as an "individual" on September 08, 2017.
The provider is located at 329 N GENESEE ST WAUKEGAN, IL 60085 and the phone number is (847) 623-1730.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.