Individual
JULI LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1575 N 4TH ST STE 103, LARAMIE, WY 82072
(307) 721-0700
Mailing address
1575 N 4TH ST STE 103, LARAMIE, WY 82072-2091
(307) 721-0700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1597
MN
106H00000X
Marriage & Family Therapist
Primary
LMFT-233
WY
106H00000X
Marriage & Family Therapist
LMFT1210
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418369000
—
MN
Enumeration date
09/02/2006
Last updated
08/07/2019
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