Madelaine Antoinette Larsen, B.S.
NPI #1336386861 in Gautier, Mississippi
Provider Information
- NPI Number
- 1336386861
- Entity Type
- Individual
- Name
- Madelaine Antoinette Larsen, B.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- B.S.
- Enumeration Date
- Jan 21, 2009
- Last Updated
- Jan 21, 2009
Practice Location
- Address
- 3407 SHAMROCK CT
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-6429
- Phone
- (228) 497-0690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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