Individual
KRISTIN ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
(308) 635-7026
Mailing address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
(308) 635-7026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1141
NE
101YP2500X
Professional Counselor
1980
NE
Other
Enumeration date
02/09/2010
Last updated
02/20/2014
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