Provider Demographics
NPI:1578045845
Name:WEBBER-LARA, ROCHELLE A (LMFT)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:A
Last Name:WEBBER-LARA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14718 RUNNING WOLF
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4754
Mailing Address - Country:US
Mailing Address - Phone:830-507-2237
Mailing Address - Fax:
Practice Address - Street 1:14718 RUNNING WOLF
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-4754
Practice Address - Country:US
Practice Address - Phone:830-507-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202738106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist