Individual provider · Type 1 NPI
Jonathon Eugene Larson, ED.D., CRC, LCPC
Professional Counselor · Beach Park, IL
NPI number
1629297098
Active
Practice location
11316 W Wadsworth Rd, Suite 102
Beach Park, IL 60099
Mailing address
920 Washington Avenue
Winthrop Harbor, IL 60096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.0064665 (IL) |
Professional Counselor: Definition to come...
4 other providers at this address
Other professional counselor providers in Beach Park
About NPI 1629297098
Jonathon Eugene Larson, ED.D., CRC, LCPC's National Provider Identifier is 1629297098, issued on Apr 24, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beach Park, IL. The record was last updated on Dec 16, 2016.