Lara Justice's National Provider Identifier (NPI) Details
Lara Justice, LMFT
NPI: 1801042569
Enumeration Date: 2008-08-13
Last updated: 2014-01-14
Sole Proprietor: YES
Status: active
Postal Address: 1891 EFFIE ST, LOS ANGELES, CA
Phone: 213-587-3336
Primary Practice Address: 118 CARR DR APT 104, GLENDALE, CA
Practice's phone: 213-587-3336