Individual provider · Type 1 NPI

Kitina L. Larsen

Mental Health Counselor · North Bend, OR

NPI number 1639736044 Active

Practice location

1592 Monroe St
North Bend, OR 97459-3657

Call (541) 756-2048 Map

Fax (541) 756-2058

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639736044

Kitina L. Larsen's National Provider Identifier is 1639736044, issued on May 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Bend, OR. The record was last updated on May 21, 2019.