Individual
KALEB ORVILLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
6401 S. US HWY 41, TERRE HAUTE, IN 47805-4749
(812) 299-1156
(812) 299-0118
Mailing address
GIBAULT CARE INC., 6401 S. US HWY 41, TERRE HAUTE, IN 47805-4749
(812) 299-1156
(812) 299-0118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004107A
IN
Other
Enumeration date
02/22/2018
Last updated
09/23/2024
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