Individual
DR. KRISTIN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
940 W FREMONT ST, GALESBURG, IL 61401-2558
(309) 368-9850
Mailing address
940 W FREMONT ST, GALESBURG, IL 61401-2558
(309) 368-9850
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
071006423
IL
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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