Individual
KATHRYN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
620 BABCOCK BLVD E, DELANO, MN 55328-8603
(612) 354-6818
Mailing address
313 WASHINGTON AVE S APT 716, MINNEAPOLIS, MN 55415-1451
(515) 370-4646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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