Individual
MR. DAVID PHELPS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8452
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8452
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP00006419
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006419
WA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
06/13/2013
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