Individual
JENNIFER L LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
375 WILLIAMSTOWNE STE L11, DELAFIELD, WI 53018-2331
(262) 631-9930
Mailing address
621 W CAPITOL DR APT 11, HARTLAND, WI 53029-1909
(262) 631-9930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12026-125
WI
101YP2500X
Professional Counselor
Primary
12026-125
WI
Other
Enumeration date
01/02/2024
Last updated
04/08/2026
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