Individual
STEPHANIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1780
Mailing address
1499 SIXTH STREET, GREEN BAY, WI 54304
(920) 497-6161
(920) 498-0476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
01/21/2026
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