Individual
MS. ANITA L LARAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4275 SE MILE HILL DR, SUITE B, PORT ORCHARD, WA 98366-3934
(360) 871-4431
(360) 769-5909
Mailing address
PO BOX 236, MANCHESTER, WA 98353-0236
(360) 871-4431
(360) 769-5909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00010789
WA
101YM0800X
Mental Health Counselor
RC00046731
WA
Other
Enumeration date
09/23/2006
Last updated
02/03/2010
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