Individual
CAROL ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
7055 W BELL RD, SUITE 21, GLENDALE, AZ 85308-8544
(623) 878-2037
(623) 878-2302
Mailing address
7055 W BELL RD, SUITE 21, GLENDALE, AZ 85308-8544
(623) 878-2037
(623) 878-2302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13679
AZ
Other
Enumeration date
03/05/2008
Last updated
02/22/2012
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