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Individual
CHAD WILLIAM LARSON
Active
Individual
CHAD WILLIAM LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8300-123
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15442-134
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15603-132
WI
1041C0700X
Clinical Social Worker
Primary
8300-123
WI
Other
Enumeration date
10/29/2015
Last updated
01/23/2024
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