Individual
DANIEL JUSTIN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 440-6799
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 470-3442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23060
AZ
Other
Enumeration date
02/12/2025
Last updated
10/28/2025
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