Individual
JOSEPH RYAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
530 NW 5TH ST, CORVALLIS, OR 97330-6419
(541) 753-3333
(541) 754-3333
Mailing address
530 NW 5TH ST, CORVALLIS, OR 97330-6419
(541) 753-3333
(541) 754-3333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
T-22-1734
OR
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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