Brian Larsen, MA, LPC
NPI #1376990291 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1376990291
- Entity Type
- Individual
- Name
- Brian Larsen, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC
- Enumeration Date
- May 20, 2016
- Last Updated
- May 10, 2017
Practice Location
- Address
- 4123 MEACHEM RD
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53403-3912
- Phone
- (773) 910-6003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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