Individual provider · Type 1 NPI

John P. Larson, LPCC

Professional Counselor · Albuquerque, NM

NPI number 1114100278 Active

Practice location

2703 Frontier St NE, Suite 120 MSC11 6145
Albuquerque, NM 87131

Call (505) 552-9321 Map

Mailing address

4211 Hannett Ave NE
Albuquerque, NM 87110-4941

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0135901 (NM)

Professional Counselor: Definition to come...

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About NPI 1114100278

John P. Larson, LPCC's National Provider Identifier is 1114100278, issued on Dec 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 8, 2013.