Individual
POLLY KATHRYN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 E CARMEL DR, CARMEL, IN 46032-3317
(317) 564-8332
(317) 660-2151
Mailing address
25 STATEN PL, ZIONSVILLE, IN 46077-1140
(317) 250-6176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99099767A
IN
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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