Individual provider · Type 1 NPI

Jody B. Larson, LPC, ATRL

Professional Counselor · De Pere, WI

NPI number 1750590477 Active

Practice location

1325 Angels Path
De Pere, WI 54115-4050

Call (920) 338-2855 Map

Fax (920) 338-9270

Mailing address

PO Box 22040
Green Bay, WI 54305-2040

Specialties and licenses

TaxonomyCodeLicense
Art Therapist 221700000X62-036 (WI)
Professional Counselor Primary 101YP2500X2479-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1750590477

Jody B. Larson, LPC, ATRL's National Provider Identifier is 1750590477, issued on May 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in De Pere, WI. The record was last updated on Dec 29, 2023.