Individual
DEANNA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10505 W CLEARWATER AVE, KENNEWICK, WA 99336-8613
(509) 378-5553
(509) 579-4088
Mailing address
10505 W CLEARWATER AVE, KENNEWICK, WA 99336-8613
(509) 378-5553
(509) 579-4088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61003444
WA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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