Individual
KYLA LORRAINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010
Mailing address
306 QUEEN ANNE AVE N APT 508, SEATTLE, WA 98109-4770
(541) 216-8644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
SC70039912
WA
Other
Enumeration date
04/18/2023
Last updated
03/09/2026
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