Individual
JESSICA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1255 PEARL ST, #102, EUGENE, OR 97401-3570
(541) 687-6983
Mailing address
197 N 6TH ST, SAINT HELENS, OR 97051-1407
(406) 403-8973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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