Individual provider · Type 1 NPI

Shane Michael Larson, M.S., LPC-MH

Professional Counselor · Watertown, SD

NPI number 1679655856 Active

Practice location

100 S Maple, Suite 204
Watertown, SD 57201-3678

Call (605) 520-0157 Map

Mailing address

PO Box 1131
Watertown, SD 57201-6131

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPCMH2210 (SD)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Professional Counselor: Definition to come...

Other professional counselor providers in Watertown

See all in Watertown →

About NPI 1679655856

Shane Michael Larson, M.S., LPC-MH's National Provider Identifier is 1679655856, issued on Oct 19, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Watertown, SD. The record was last updated on Apr 24, 2017.