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Individual

MR. DAVID BRIAN LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
548 SW 13TH ST, BEND, OR 97702-3184
(541) 388-8459
(541) 388-8116
Mailing address
3087 NE WEEPING WILLOW DR, BEND, OR 97701-5871
(541) 728-8594

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/30/2020
Last updated
01/30/2020
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