Individual provider · Type 1 NPI

David Larson, LADC

Addiction (Substance Use Disorder) Counselor · Maple Grove, MN

NPI number 1912329301 Active

Practice location

13603 80th Cir N
Maple Grove, MN 55369-8961

Call (763) 416-1489 Map

Fax (763) 416-3957

Mailing address

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X300922 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912329301

David Larson, LADC's National Provider Identifier is 1912329301, issued on Jan 20, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 11, 2014.