Individual
MRS. SOPHIA GRACE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
1541 CENTER PARK RD STE 2, LINCOLN, NE 68512-1227
(402) 261-0235
(402) 261-0428
Mailing address
6837 DUDLEY ST, LINCOLN, NE 68505-1848
(262) 422-2322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14011
NE
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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