Individual provider · Type 1 NPI

Kelly Lyn Larsen

Professional Counselor · Livingston, TX

NPI number 1902480676 Active

Practice location

2200 S Washington Ave
Livingston, TX 77351-4058

Call (936) 933-2770 Map

Mailing address

555 Dickens Landing Dr
Livingston, TX 77351-1267

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X77195 (TX)
Professional Counselor Primary 101YP2500X77195 (TX)

Professional Counselor: Definition to come...

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About NPI 1902480676

Kelly Lyn Larsen's National Provider Identifier is 1902480676, issued on May 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Livingston, TX. The record was last updated on Nov 25, 2024.