Individual
MOLLY G LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2829 4TH AVE STE 150, LAKE CHARLES, LA 70601-7897
(337) 480-7800
(337) 474-4552
Mailing address
PO BOX 123977 DEPT 3977, DALLAS, TX 75312-3977
(337) 494-2921
(373) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2394
LA
106H00000X
Marriage & Family Therapist
71
LA
Other
Enumeration date
03/31/2006
Last updated
05/12/2022
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