Jeffrey Donald Larson, LADC

NPI #1023575263 in Milaca, Minnesota

Provider Information

NPI Number: 1023575263
Entity Type: Individual
Name: Jeffrey Donald Larson, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Feb 25, 2019
Last Updated: Apr 15, 2021

Practice Location

Address: 11735 90TH AVE
City: Milaca
State: Minnesota
ZIP Code: 56353-3894
Phone: (612) 251-8206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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