MRS. Deborah Diane Larson, LADC

NPI #1588954812 in Pine City, Minnesota

Provider Information

NPI Number
1588954812
Entity Type
Individual
Name
MRS. Deborah Diane Larson, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Apr 7, 2011
Last Updated
Apr 7, 2011

Practice Location

Address
645 3RD AVE SW
ZIP Code
55063-1468
Phone
(320) 629-1362

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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