Individual
CHARLES JAMES LARSEN-KALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMHC
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-9634
(206) 744-9919
Mailing address
325 9TH AVE, BOX 359797, SEATTLE, WA 98104-2420
(206) 744-9634
(206) 744-9919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00006456
WA
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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