Individual provider · Type 1 NPI

Angela Renae Larson, BS

Mental Health Counselor · Watertown, SD

NPI number 1164418646 Active

Practice location

123 19th St NE
Watertown, SD 57201-2823

Call (605) 886-0123 Map

Fax (605) 886-5447

Mailing address

PO Box 1030
Watertown, SD 57201-6030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164418646

Angela Renae Larson, BS's National Provider Identifier is 1164418646, issued on Sep 21, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, SD. The record was last updated on Jul 13, 2026.