Individual provider · Type 1 NPI
Tina Ann Larson
Mental Health Counselor · Springfield, OR
NPI number
1386714798
Active
Practice location
940 W N St
Springfield, OR 97477-2865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1386714798
Tina Ann Larson's National Provider Identifier is 1386714798, issued on Nov 9, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Apr 20, 2010.