Kelly Larsen
NPI #1073851093 in Lucerne, California
Provider Information
- NPI Number
- 1073851093
- Entity Type
- Individual
- Name
- Kelly Larsen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 25, 2013
- Last Updated
- Jan 25, 2013
Practice Location
- Address
- 6302 THIRTEENTH AVENUE
- City
- Lucerne
- State
- California
- ZIP Code
- 95458
- Phone
- (707) 274-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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