Individual
MRS. LARISSA DAVIS BELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 SOUTH PARK DR. STE 4, CORBIN, KY 40701
(859) 795-1323
Mailing address
37 SOUTH PARK DR. STE, 4, CORBIN, KY 40701-0423
(859) 795-1323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
2010-53
KY
1041C0700X
Clinical Social Worker
Primary
259920
KY
Other
Enumeration date
04/27/2007
Last updated
12/20/2024
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