Individual
BRENDA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
309 N LOGAN AVE, DANVILLE, IL 61832-5613
(217) 442-3200
Mailing address
PO BOX 404, OAKWOOD, IL 61858-0404
(217) 474-8782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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