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Individual

NICOLE LARSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.MFT,LMFT-ASSOCIATE

Contact information

Practice address
17920 HUFFMEISTER RD STE 150, CYPRESS, TX 77429-6445
(832) 421-8714
Mailing address
16411 FALCONS COVE DR, HOUSTON, TX 77095-5435
(281) 513-5650

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204730
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204730
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
Enumeration date
09/12/2022
Last updated
09/12/2022
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