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Individual
RUSSELL LARKIN SR.
Active
Individual
RUSSELL LARKIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701000579
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
11/22/2016
Last updated
11/22/2016
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