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Individual

SUE LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC CSAC

Contact information

Practice address
149 E MILL ST, RICHLAND CENTER, WI 53581-2261
(608) 856-5225
Mailing address
149 E MILL ST, RICHLAND CENTER, WI 53581-2261
(608) 856-5225
(608) 856-5226

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15722-132
WI
101YP2500X
Professional Counselor
Primary
5548-125
WI

Other

Enumeration date
04/28/2011
Last updated
07/16/2024
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