Individual
JENELLE D LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
816 F ST SE, AUBURN, WA 98002-6121
(253) 939-2202
(253) 735-1894
Mailing address
5417 JAMES PL SE, AUBURN, WA 98092-3855
(805) 331-0867
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 60194305
WA
Other
Enumeration date
02/15/2010
Last updated
04/05/2011
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