Individual provider · Type 1 NPI

Victor Harry Larson Iv, MS

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1154564318 Active

Practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Fax (559) 229-9060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154564318

Victor Harry Larson Iv, MS's National Provider Identifier is 1154564318, issued on Apr 16, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 11, 2010.