Individual
CARLOS ALFREDO LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 1ST ST, JACKSON, MI 49201-2102
(517) 998-4673
(517) 998-0005
Mailing address
410 N BERRIEN ST, ALBION, MI 49224-1832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018549
MI
Other
Enumeration date
08/25/2020
Last updated
11/20/2020
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