Individual
SAMUEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
878 FOX DR, WINCHESTER, VA 22603-8613
(540) 546-2624
Mailing address
1018 S KENT ST, WINCHESTER, VA 22601-4549
(269) 365-5900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017159
VA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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