Organization
TINA LARSON PROFESSIONAL CLINICAL COUNSELOR PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE U LARSON LPCC (LICENSED PROFESSIONAL CLINICAL COUN)
(703) 980-9205
Entity
Organization
Contact information
Practice address
1255 TREAT BLVD STE 300, WALNUT CREEK, CA 94597-7965
(703) 980-9205
Mailing address
1255 TREAT BLVD STE 300, WALNUT CREEK, CA 94597-7965
(703) 980-9205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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