Individual provider · Type 1 NPI
Roberta G. Larson, L.I.C.S.W.
Mental Health Counselor · Plymouth, MN
NPI number
1952440489
Active
Practice location
14502 County Road 6
Plymouth, MN 55447-4555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 05177 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1952440489
Roberta G. Larson, L.I.C.S.W.'s National Provider Identifier is 1952440489, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MN. The record was last updated on Jul 8, 2007.