Individual
JAIME L LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 60TH AVE NE, WILLMAR, MN 56201
(507) 299-0436
Mailing address
7800 COUNTY ROAD 5 NW, WILLMAR, MN 56201-9793
(320) 444-8209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MN
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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