Individual
LARISSA FRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 S LAWE ST STE 1, APPLETON, WI 54915-2419
(920) 915-0102
(920) 481-3121
Mailing address
1620 S LAWE ST, STE 1, APPLETON, WI 54915-2419
(920) 284-9676
(920) 481-3121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5984-125
WI
101YP2500X
Professional Counselor
Primary
5984-125
WI
Other
Enumeration date
06/23/2016
Last updated
02/25/2025
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