SHASTINA YVONNE LARA
NPI 1710560305
Counselor in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since April 30, 2021

6051 N FRESNO ST STE 201, FRESNO, CA 93710(559) 681-8308 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2021, Apr 30, 2021 (2 updates tracked since 2021).

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About Shastina Yvonne Lara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTINA YVONNE LARA (NPI 1710560305) is an individual counselor in Fresno, California and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1710560305

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHASTINA YVONNE LARA

Location Address6051 N FRESNO ST STE 201Fresno, CA 93710-5280

Mailing Address6051 N Fresno St Ste 201Fresno, CA 93710-5280 · (559) 681-8308

Phone(559) 681-8308

Sole ProprietorNo

Enumeration DateApril 30, 2021

Last NPPES UpdateMay 12, 20212 updates tracked since enumeration

NPPES CertifiedMay 12, 2021

✔ NPI 1710560305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6051 N FRESNO ST STE 201, Fresno, CA 93710

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