Individual provider · Type 1 NPI

Keith Larsen, T-LPC

Mental Health Counselor · Ottawa, KS

NPI number 1649640533 Active

Practice location

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Fax (785) 242-6397

Mailing address

PO Box 677
Ottawa, KS 66067-0677

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XT-LPC 2786 (KS)

Mental Health Counselor: Definition to come...

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About NPI 1649640533

Keith Larsen, T-LPC's National Provider Identifier is 1649640533, issued on Oct 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ottawa, KS. The record was last updated on Oct 5, 2015.