Individual
AVA SOFIA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
466 COVE RD, BELLINGHAM, WA 98229-8924
(360) 585-6903
Mailing address
466 COVE RD, BELLINGHAM, WA 98229-8924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MC70033006
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
01/20/2026
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