Individual
MISS BETHANY ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9023 FOREST HILL AVE STE 2A, NORTH CHESTERFIELD, VA 23235-3054
(571) 244-9964
Mailing address
9023 FOREST HILL AVE STE 2A, NORTH CHESTERFIELD, VA 23235-3054
(571) 244-9964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005271
VA
Other
Enumeration date
01/14/2013
Last updated
10/03/2025
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