Individual
CHRISTINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4388 KATELLA AVE, LOS ALAMITOS, CA 90720-3565
(562) 596-0050
Mailing address
4388 KATELLA AVE, LOS ALAMITOS, CA 90720-3565
(562) 596-0050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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