Individual provider · Type 1 NPI

Larisa Liuticova

Mental Health Counselor · Bellevue, WA

NPI number 1043974504 Active

Practice location

14270 NE 21st St
Bellevue, WA 98007-3720

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043974504

Larisa Liuticova's National Provider Identifier is 1043974504, issued on Oct 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bellevue, WA. The record was last updated on Mar 21, 2025.