Individual
ELISABETH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2020 DOWNYFLAKE LN, SUITE 201-E, ALLENTOWN, PA 18103-4917
(484) 274-9010
Mailing address
2020 DOWNYFLAKE LN, SUITE 201-E, ALLENTOWN, PA 18103-4917
(484) 274-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008983
PA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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