Individual provider · Type 1 NPI

Phyllis Larson, LPC

Professional Counselor · Jefferson City, MO

NPI number 1891732707 Active

Practice location

1432 Southwest Blvd
Jefferson City, MO 65109

Fax (573) 632-5875

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X434 (MO)

Professional Counselor: Definition to come...

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About NPI 1891732707

Phyllis Larson, LPC's National Provider Identifier is 1891732707, issued on May 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 1, 2009.