Individual provider · Type 1 NPI

Jaime L. Larson

Mental Health Counselor · Willmar, MN

NPI number 1073275053 Active

Practice location

2160 60th Ave NE
Willmar, MN 56201

Call (507) 299-0436 Map

Mailing address

7800 County Road 5 NW
Willmar, MN 56201-9793

Specialties and licenses

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

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About NPI 1073275053

Jaime L. Larson's National Provider Identifier is 1073275053, issued on Oct 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willmar, MN. The record was last updated on Oct 7, 2021.