Individual provider · Type 1 NPI

Kelly J. Larsen, LCPC

Professional Counselor · Wheaton, IL

NPI number 1497024152 Active

Practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180008049 (IL)

Professional Counselor: Definition to come...

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About NPI 1497024152

Kelly J. Larsen, LCPC's National Provider Identifier is 1497024152, issued on Dec 23, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wheaton, IL. The record was last updated on Dec 23, 2011.