Individual
JEFFREY J LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
18623 VASHON HWY SW, VASHON, WA 98070-5211
(206) 463-6359
Mailing address
11628 103RD AVE SW, VASHON, WA 98070-3106
(206) 463-6359
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
3718
WA
103TC0700X
Clinical Psychologist
1608
WA
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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