Individual provider · Type 1 NPI
Jeffrey Donald Larson, LADC
Addiction (Substance Use Disorder) Counselor · Milaca, MN
NPI number
1023575263
Active
Practice location
11735 90th Ave
Milaca, MN 56353-3894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300814 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Milaca
About NPI 1023575263
Jeffrey Donald Larson, LADC's National Provider Identifier is 1023575263, issued on Feb 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milaca, MN. The record was last updated on Apr 15, 2021.