Individual
JULIA GRACE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-MH, LAC
Contact information
Practice address
3922 S WESTERN AVE, SIOUX FALLS, SD 57105-6513
(605) 549-1200
Mailing address
121 E 5TH AVE, LENNOX, SD 57039-2144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH30633
SD
Other
Enumeration date
08/31/2023
Last updated
08/21/2024
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