Individual
KELLI DOWNS LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
210 N HIGGINS AVE, SUITE 320, MISSOULA, MT 59802-4462
(406) 241-8213
Mailing address
PO BOX 16581, MISSOULA, MT 59808-6581
(406) 241-8213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1397
MT
Other
Enumeration date
03/18/2009
Last updated
03/26/2010
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