Individual provider · Type 1 NPI

Lora M. Larson, ASW

Mental Health Counselor · Stockton, CA

NPI number 1235378183 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Call (209) 468-2385 Map

Fax (209) 468-8024

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X21294 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1235378183

Lora M. Larson, ASW's National Provider Identifier is 1235378183, issued on Feb 17, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Feb 17, 2009.