Individual provider · Type 1 NPI

Stephanie Larson

Professional Counselor · Two Rivers, WI

NPI number 1013482264 Active

Practice location

3120 Memorial Dr
Two Rivers, WI 54241-3229

Mailing address

1499 6th St
Green Bay, WI 54304-2252

Other practice locations

  • 1150 Springhurst Dr # LL209, Green Bay, WI 54304-5950 · (920) 657-1780

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11440-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1013482264

Stephanie Larson's National Provider Identifier is 1013482264, issued on Oct 3, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Two Rivers, WI. The record was last updated on Oct 20, 2026.