Individual provider · Type 1 NPI

Mark Timothy Larsen, LPC

Professional Counselor · Wytheville, VA

NPI number 1396824934 Active

Practice location

170 Nottingham Dr
Wytheville, VA 24382-1412

Call (276) 698-5595 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701004045 (VA)

Professional Counselor: Definition to come...

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About NPI 1396824934

Mark Timothy Larsen, LPC's National Provider Identifier is 1396824934, issued on Nov 3, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wytheville, VA. The record was last updated on Oct 18, 2021.