Individual
EMMA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12655 SW CENTER ST STE 221, BEAVERTON, OR 97005-4769
(971) 246-5970
Mailing address
2884 SE LAKE RD APT 32, MILWAUKIE, OR 97222-6853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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