LARA WITHOP
NPI 1649680257
Counselor - Mental Health in Lakeport, CA
Active since May 05, 2014
About Lara Withop NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARA WITHOP (NPI 1649680257) is an individual mental health provider in Lakeport, California, licensed in California (75305) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1649680257
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARA WITHOP
Location Address1152 S MAIN STLakeport, CA 95453-5517
Mailing Address1152 S Main StLakeport, CA 95453-5517
Phone(707) 263-8795
Sole ProprietorNo
Enumeration DateMay 5, 2014
✔ NPI 1649680257 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 75305
1152 S MAIN ST, Lakeport, CA 95453
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649680257, enumerated as an "individual" on May 05, 2014.
The provider is located at 1152 S MAIN ST LAKEPORT, CA 95453 and the phone number is (707) 263-8795.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
