Individual
CYNTHIA LEE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-ASSOCIATE
Contact information
Practice address
1785 STATE HIGHWAY 26 STE 200, GRAPEVINE, TX 76051-2217
(703) 966-5463
Mailing address
1785 STATE HIGHWAY 26 STE 200, GRAPEVINE, TX 76051-2217
(703) 966-5463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1734479
TX
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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