MRS. Diantha Jean Larson, CCDC T
NPI #1669467577 in Watertown, South Dakota
Provider Information
- NPI Number
- 1669467577
- Entity Type
- Individual
- Name
- MRS. Diantha Jean Larson, CCDC T
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CCDC T
- Enumeration Date
- Sep 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 123 19TH ST NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-2823
- Phone
- (605) 886-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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