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Individual

CARLYN M LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8717 DIMOND D CIR, ANCHORAGE, AK 99515-1931
(907) 771-0536
(907) 771-0537
Mailing address
PO BOX 110986, ANCHORAGE, AK 99511-0986
(907) 771-0536
(907) 771-0537

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
445
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021093
AK
Enumeration date
05/02/2007
Last updated
04/24/2014
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