Individual provider · Type 1 NPI

Larissa Chandrima Kaiulani Proctor, LPC

Professional Counselor · Union, MO

NPI number 1164015673 Active

Practice location

1780 Old Highway 50 E Ste 102
Union, MO 63084-3397

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2021005305 (MO)

Professional Counselor: Definition to come...

15 other providers at this address

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About NPI 1164015673

Larissa Chandrima Kaiulani Proctor, LPC's National Provider Identifier is 1164015673, issued on Feb 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Union, MO. The record was last updated on Feb 8, 2023.