Individual
KELLY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3430 SW 320TH ST, FEDERAL WAY, WA 98023-2292
(253) 289-6099
Mailing address
3430 SW 320TH ST, FEDERAL WAY, WA 98023-2292
(253) 289-6099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG70040149
WA
Other
Enumeration date
09/19/2025
Last updated
12/03/2025
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