Individual
MRS. SARAH NASSER LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. ,LPC,LPCC
Contact information
Practice address
4060 CAMPUS DR STE 110, NEWPORT BEACH, CA 92660-2205
(949) 274-2521
Mailing address
1836 PORT TIFFIN PL, NEWPORT BEACH, CA 92660-7121
(949) 274-2521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6082
CA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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