Individual
KRISTIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
717 NE 61ST ST STE 202, VANCOUVER, WA 98665-8756
(509) 306-2369
Mailing address
PO BOX 1533, 454 N 1ST ST, KALAMA, WA 98625
(509) 306-2369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LW60892105
WA
Other
Enumeration date
11/16/2018
Last updated
11/07/2022
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