Kimberly Larsen, LAC CADAC V
NPI #1588257976 in Chesterton, Indiana
Provider Information
- NPI Number
- 1588257976
- Entity Type
- Individual
- Name
- Kimberly Larsen, LAC CADAC V
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAC CADAC V
- Enumeration Date
- Feb 16, 2021
- Last Updated
- Feb 16, 2021
Practice Location
- Address
- 612 W MORGAN AVE
- City
- Chesterton
- State
- Indiana
- ZIP Code
- 46304-2244
- Phone
- (219) 307-0086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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