Individual provider · Type 1 NPI

Sue Larsen, MA, MFT

Mental Health Counselor · Dallas, OR

NPI number 1750408498 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1922

Call (503) 623-9289 Map

Fax (503) 831-1726

Mailing address

738 Luscombe Street
Independence, OR 97351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750408498

Sue Larsen, MA, MFT's National Provider Identifier is 1750408498, issued on Mar 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Jul 8, 2007.