Beverly Larson

NPI #1821120593 in Trinidad, Colorado

Provider Information

NPI Number
1821120593
Entity Type
Individual
Name
Beverly Larson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
417 S INDIANA AVE
ZIP Code
81082-3126
Phone
(719) 545-2746

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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