Doctor Name: | MR. JOHN DANIEL LAJARA |
NPI Number: | 1811124761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW-R |
License Number: | 039946 |
Business Practice Address: | 1730 Mulford Ave. # 6-m C/o David Lajara # 6-m Bx., NY - 10461 |
Business Phone Number: | 7184147238 |
Business Fax Number: | |
Mailing Address: | 1730 Mulford Ave. # 6-m, C/o David M. Lajara BRONX |
State: | NY |
Postal Code: | 10461 |
Phone Number: | 7184147238 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 039946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |