Individual
MRS. LAURA S. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1600 2ND AVE SW, SUITE 27, MINOT, ND 58701-3459
(701) 852-8798
(701) 837-5410
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
466111501131
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25247
ND BLUE SHIELD NUMBER
ND
Enumeration date
06/05/2006
Last updated
04/05/2023
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