Phyllis Larson, LPC
NPI #1891732707 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1891732707
- Entity Type
- Individual
- Name
- Phyllis Larson, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- May 31, 2006
- Last Updated
- Jul 1, 2009
Practice Location
- Address
- 1432 SOUTHWEST BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 632-5560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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