Individual
ANNETTE M LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
405 KAYS DR, NORMAL, IL 61761-1979
(309) 888-9979
Mailing address
706 LANDAU LN, NORMAL, IL 61761-4813
(309) 862-4426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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