Individual
MS. CYNTHIA RAE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6961 UNIVERSITY AVE STE A, WINDSOR HEIGHTS, IA 50324-1532
(515) 313-8788
(515) 277-6995
Mailing address
6961 UNIVERSITY AVE STE A, WINDSOR HEIGHTS, IA 50324-1532
(515) 313-8788
(515) 414-7434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00247
IA
101Y00000X
Counselor
Primary
95173
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076170000
—
IA
Enumeration date
07/28/2006
Last updated
08/25/2021
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