Individual
DANIELLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
3762 Z ST, WASHOUGAL, WA 98671-7450
(206) 482-9093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60796583
WA
Other
Enumeration date
06/22/2018
Last updated
06/21/2019
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