Individual
STACEY LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
227400 RIB MOUNTAIN DR, WAUSAU, WI 54401-5048
(715) 301-0667
Mailing address
3310 TAPPE DR, WESTON, WI 54476-6664
(715) 393-5920
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11638125
WI
101YP2500X
Professional Counselor
7257-226
WI
Other
Enumeration date
02/15/2023
Last updated
07/08/2025
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