Individual
KATHRYN E LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1353 W MAIN ST, LEXINGTON, KY 40508
(855) 591-0092
Mailing address
667 SHERIDAN DR, LEXINGTON, KY 40503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
260536
KY
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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