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Individual
JEFFREY J LARSON
Active
Individual
JEFFREY J LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
3718
WA
103TC0700X
Clinical Psychologist
1608
WA
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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