Individual provider · Type 1 NPI

Alice J. Larsen, MASTERS STUDENT

Mental Health Counselor · Aberdeen, WA

NPI number 1902135247 Active

Practice location

2700 Simpson Avenue, Ste. 101
Aberdeen, WA 98520

Call (360) 612-0012 Map

Fax (360) 532-0670

Mailing address

921 14th Avenue
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X60878870 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1902135247

Alice J. Larsen, MASTERS STUDENT's National Provider Identifier is 1902135247, issued on Dec 16, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Aberdeen, WA. The record was last updated on Feb 5, 2019.