Individual
ASHLEY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19641 E PARKER SQUARE DR STE J, PARKER, CO 80134-7397
(720) 340-7000
(720) 764-7494
Mailing address
19641 E PARKER SQUARE DR STE J, PARKER, CO 80134-7397
(720) 340-7000
(720) 764-7494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0997977
CO
101YM0800X
Mental Health Counselor
CSW.09928544
CO
101YM0800X
Mental Health Counselor
NLC.0103393
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09928544
CO
Other
Enumeration date
12/08/2014
Last updated
10/18/2022
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