# JIMMIE JOANN LARSON PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295473346
- **Authorized official:** JIMMIE LARSON LIMHP (PRESIDENT)
- **Authorized official phone:** (402) 366-5432

## Contact information

- **Practice address:** 1100 N LINCOLN AVE STE F, YORK, NE 68467-1743
- **Practice address phone:** (402) 759-3802
- **Practice address fax:** (402) 759-3803
- **Mailing address:** 1100 N LINCOLN AVE STE F, YORK, NE 68467-1743
- **Mailing address phone:** (402) 759-3802
- **Mailing address fax:** (402) 759-3803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2022
- **Last updated:** 11/30/2023