Individual
MS. ELIZABETH LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
1144 COLDSPRING RD, ELGIN, IL 60120-5102
(847) 622-7852
(847) 381-9297
Mailing address
1144 COLDSPRING RD, ELGIN, IL 60120-5102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11232
DRUG & ALCOHOL COUNSELOR
IL
Enumeration date
01/11/2007
Last updated
07/08/2007
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