Individual
ANDREW LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Mailing address
3015 ALA NAPUAA PL APT 313, HONOLULU, HI 96818-2729
(512) 970-3196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-1194
HI
106S00000X
Behavior Technician
RBT-22-250360
HI
106S00000X
Behavior Technician
Primary
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Other
Enumeration date
12/30/2022
Last updated
02/09/2026
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