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Individual
CELEST LARSON
Active
Individual
CELEST LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LAC, QMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25032042
SD
1041C0700X
Clinical Social Worker
6661
SD
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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