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Individual

MS. NICOLE ANDREA LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, LPCC

Contact information

Practice address
1026 NP AVE N APT 108, FARGO, ND 58102-4694
(701) 212-7662
Mailing address
1010 32ND AVE S, MOORHEAD, MN 56560-5001
(218) 233-7524

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2585
MN

Other

Enumeration date
03/04/2013
Last updated
09/11/2024
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