DR. Jonathon Eugene Larson, ED.D., CRC, LCPC
NPI #1629297098 in Beach Park, Illinois
Provider Information
- NPI Number
- 1629297098
- Entity Type
- Individual
- Name
- DR. Jonathon Eugene Larson, ED.D., CRC, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- ED.D., CRC, LCPC
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Dec 16, 2016
Practice Location
- Address
- 11316 W WADSWORTH RD
- Address 2
- SUITE 102
- City
- Beach Park
- State
- Illinois
- ZIP Code
- 60099
- Phone
- (224) 216-0095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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