Individual provider · NPI-1
Karla Canas-Deras
Community/Behavioral Health · Lawrence, MA
NPI number1740956770
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1740956770
- Entity type
- Individual (NPI-1)
- Name
- Karla Canas-Deras
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2021
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
250 Prospect St Apt 3Lawrence, MA 01841-2872
Phone 978-884-8875
Mailing address
250 Prospect St Apt 3Lawrence, MA 01841-2872
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