Individual provider · Type 1 NPI

Kelly Larsen

Counselor · Lucerne, CA

NPI number 1073851093 Active

Practice location

6302 Thirteenth Avenue
Lucerne, CA 95458

Fax (707) 274-9192

Mailing address

PO Box 1024
Lucerne, CA 95458-1024

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073851093

Kelly Larsen's National Provider Identifier is 1073851093, issued on Jan 25, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lucerne, CA. The record was last updated on Jan 25, 2013.