Individual
KRISTEN LEIGH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR, LPC, LAT
Contact information
Practice address
13169 SE RIVER RD, PORTLAND, OR 97222-9702
(503) 652-6633
Mailing address
13169 SE RIVER RD, PORTLAND, OR 97222-9702
(503) 652-6633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3717
OR
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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