Individual provider · Type 1 NPI

Katheryn Renay Larson, CP60642390

Addiction (Substance Use Disorder) Counselor · Kirkland, WA

NPI number 1184195026 Active

Practice location

10322 NE 132nd St
Kirkland, WA 98034-2829

Fax (425) 820-3354

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60642390 (WA)

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

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About NPI 1184195026

Katheryn Renay Larson, CP60642390's National Provider Identifier is 1184195026, issued on Dec 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kirkland, WA. The record was last updated on Dec 17, 2018.