GLADYS ADRIANA LARA


Address: 4151 Fountain St, Long Beach, CA 90804
Phone: 5627199250

GLADYS ADRIANA LARA (NPI# 1467714220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467714220
Entity Type Individual
Full Name GLADYS ADRIANA LARA
Credential M.A
Practice Address 4151 Fountain St
Long Beach
CA 90804
Mailing Address 12841 Newhope St
Garden Grove
CA 92840-5541
Practice Telephone 5627199250
Practice Fax Number 5627199261
Mailing Telephone 4077317113
Enumeration Date 2012-06-07
Last Update Date 2013-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 4151 FOUNTAIN ST
City LONG BEACH
State CA
Zip Code 90804

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NPI Name Taxonomy Address Enumeration
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1093365447 Edelmira D Sanchez Technician 837 Bennett Ave, Long Beach, CA 90804 2019-09-18
1164980165 Carlton Fortenberry Behavior Technician 775 Obispo Ave., Unit 1, Long Beach, CA 90804 2019-03-08
1427522812 Western Dental Services, Inc. Dentist 2306 E 7th Street, Long Beach, CA 90804 2019-01-18
1124557657 Keav Siv Khov Social Worker 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 2017-06-08
1265966576 Kensie Hoag Social Worker 4510 E PCh, Suite 305, Long Beach, CA 90804 2017-04-13
1528424389 Rem Pacific Sleep Center, Inc. Specialist/Technologist 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 2016-01-10
1417326935 Kelli Ann Carlson Student in an Organized Health Care Education/Training Program 2025 E. 7th Street, Long Beach, CA 90804 2015-09-15
1487059010 Kenenth K. Lee, D.d.s., Inc. Preferred Provider Organization 4755 E. Anaheim St., Long Beach, CA 90804 2014-10-24
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427664002 Christopher Joseph Bauss Marriage & Family Therapist 521 Ultimo Ave, Long Beach, CA 90814-2046 2020-09-19
1487268876 Tiffany Amber Hooton Marriage & Family Therapist 4510 E Pacific Coast Hwy Ste 540, Long Beach, CA 90804-6941 2020-09-02
1144845306 Sara Povey Marriage & Family Therapist 1635 E Ocean Blvd Unit 3a, Long Beach, CA 90802-6041 2020-06-13
1649890955 Lori Lynn Mann Marriage & Family Therapist 6695 E Pacific Coast Hwy Ste 250, Long Beach, CA 90803-4256 2020-04-16
1528606191 Joseph Buchman Marriage & Family Therapist 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410 2019-12-13
1952944951 April Dawn Malden Marriage & Family Therapist 3412 N Greenbrier Rd, Long Beach, CA 90808-2515 2019-10-22
1639729817 Valetta Melanie Kirchner Marriage & Family Therapist 1057 Belmont Ave Apt B, Long Beach, CA 90804-4225 2019-09-18
1639727209 Fairy Shaw Marriage & Family Therapist 4700 Clair Del Ave Apt 545, Long Beach, CA 90807-1329 2019-08-28
1184271496 Aline Inocencio Marriage & Family Therapist 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 2019-08-21
1366003600 Meredith Anne Freijo Marriage & Family Therapist 4401 Atlantic Ave Ste 430, Long Beach, CA 90807-2240 2019-06-26
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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