Individual
MRS. BRENDA KAYE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
105 DAVIDDEAN DR, KALAMA, WA 98625-9417
(360) 751-7213
(360) 673-2248
Mailing address
PO BOX 892, KALAMA, WA 98625-0800
(360) 673-1799
(360) 673-2248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00011197
WA
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
03/14/2007
Last updated
01/15/2026
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