Individual provider · Type 1 NPI

Theresa M. Larson, LPC

Professional Counselor · St. Louis, MO

NPI number 1881794535 Active

Practice location

10004 Kennerly Rd, Suite 362B
St. Louis, MO 63128-2141

Call (314) 849-0450 Map

Fax (314) 849-0159

Mailing address

6310 N Lakeshore Dr
House Springs, MO 63051-1122

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002139 (MO)

Professional Counselor: Definition to come...

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About NPI 1881794535

Theresa M. Larson, LPC's National Provider Identifier is 1881794535, issued on Sep 23, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 9, 2007.