Individual
NICHOLAS LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
702 34TH AVE E, ALEXANDRIA, MN 56308-2599
(320) 762-2400
Mailing address
702 34TH AVE E, ALEXANDRIA, MN 56308-2599
(320) 762-2400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4988
MN
Other
Enumeration date
03/10/2025
Last updated
05/09/2025
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