Individual
MS. SYDNEY SIMPSON LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADC,
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 739-1469
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 739-1469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012237
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01027
MI
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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