Individual
JENNIFER J LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A, CRC
Contact information
Practice address
148 PEPPERGRASS CV, KYLE, TX 78640-5902
(512) 213-8378
Mailing address
148 PEPPERGRASS CV, KYLE, TX 78640-5902
(512) 213-8378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98488
TX
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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