| Lara Benefield, LMFT | |
|
2915 Martin Luther King Jr Way Berkeley CA 94703-2133 | |
| (415) 299-9942 | |
| Not Available |
| Full Name | Lara Benefield, LMFT |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2915 Martin Luther King Jr Way, Berkeley, California |
| Authorized Official Name and Position | Lara Natasha Benefield (SOLE PROPRIETOR) |
| Authorized Official Contact | 4152999942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Benefield, LMFT 51 Essex St Apt 11 San Anselmo CA 94960-2445 Ph: (415) 299-9942 | Lara Benefield, LMFT 2915 Martin Luther King Jr Way Berkeley CA 94703-2133 Ph: (415) 299-9942 |
| NPI Number | 1386261436 |
|---|---|
| Provider Enumeration Date | 07/05/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386261436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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