Individual
DONIELLE J LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 S 8TH ST, NORFOLK, NE 68701-5875
(402) 371-0220
(402) 644-4593
Mailing address
900 W NORFOLK AVE, NORFOLK, NE 68701-5006
(402) 370-3140
(402) 370-3373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1597
NE
101YM0800X
Mental Health Counselor
9772
NE
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/30/2012
Last updated
06/10/2024
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