Individual
CHRISTINA DANIELLE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S 9TH AVE, BROKEN BOW, NE 68822-2457
(308) 872-5040
(308) 872-5060
Mailing address
2608 OLD FAIR RD, GRAND ISLAND, NE 68803-5271
(308) 382-5297
(308) 382-5315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3867
NE
Other
Enumeration date
05/17/2021
Last updated
10/23/2024
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