Individual
ANNA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3082-226
WI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
07/12/2019
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