MEDICARE: LARA HULIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	8482	TX
2	1041C0700X	Clinical Social Worker	29838	TX

General Provider Information

NPI Number	:	1609676931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA HULIN

Provider Business Mailing Address
First Line	:	505 JACKSON HILL ST APT 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5784
Country	:	US
Telephone Number	:	713-416-9941
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 JACKSON HILL ST APT 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5784
Country	:	US
Telephone Number	:	713-416-9941
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

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Directions to “ LARA HULIN ” Practice Location

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