Individual
CARA M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
309 W 12TH ST, VANCOUVER, WA 98660-2903
(360) 695-1325
Mailing address
PO BOX 605, VANCOUVER, WA 98666-0605
(360) 695-1325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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