Individual
MS. RUTH ALLISON LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3455 ERIEVILLE RD., ERIEVILLE, NY 13061-1760
(315) 503-3112
(208) 888-3018
Mailing address
PO BOX 203, FAYETTEVILLE, NY 13066-9998
(315) 503-3112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DY1I
—
NY
Enumeration date
12/12/2006
Last updated
05/29/2025
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