Individual provider · Type 1 NPI

Naomi Nicole Doriott Larson, M.A., LPC

Professional Counselor · Maple Grove, MN

NPI number 1609005636 Active

Practice location

12918 63rd Ave N
Maple Grove, MN 55369-6001

Call (763) 210-9966 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500X619-226 (WI)
Professional Counselor Primary 101YP2500X4609-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1609005636

Naomi Nicole Doriott Larson, M.A., LPC's National Provider Identifier is 1609005636, issued on Jul 12, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maple Grove, MN. The record was last updated on May 18, 2023.