Individual
SASHA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1405 FEDERAL BLVD, DENVER, CO 80204-2211
(303) 322-7108
Mailing address
2841 S RICHFIELD WAY, AURORA, CO 80013-2113
(970) 301-9146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2013
Last updated
09/07/2013
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