Individual
DR. ASTRID LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCPC, MBA
Contact information
Practice address
2317 TIMBERLINE TRL, WOODSTOCK, IL 60098-8759
(847) 553-7764
Mailing address
2317 TIMBERLINE TRL, WOODSTOCK, IL 60098-8759
(847) 553-7764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.007276
IL
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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