person
Jeffrey Donald Larson, LADC
Addiction (Substance Use Disorder) Counselor in Milaca, Minnesota
NPI 1023575263

Jeffrey Donald Larson is an Addiction (Substance Use Disorder) Counselor based in Milaca, MN and is specialized in Addiction (Substance Use Disorder). Jeffrey Donald Larson practices in Milaca, MN and has the professional credentials of LADC. The NPI Number for Jeffrey Donald Larson is 1023575263 and holds a License No. 300814 (Minnesota).

The current practice location address for Jeffrey Donald Larson is 11735 90Th Ave, Milaca, MN and can be reached out via phone at 612-251-8206.

Location: 11735 90Th Ave, Milaca, MN, 56353-3894
person
Provider Profile Details
NPI Number
1023575263
Provider Name
Jeffrey Donald Larson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
11735 90Th Ave, Milaca, MN, 56353-3894
Phone Number
612-251-8206
Fax Number
Provider Enumeration Date
02/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11735 90Th Ave
City
State
Zip
56353-3894
Phone Number
612-251-8206
Fax Number
person
Provider Business Mailing Address Details
Address
11735 90Th Ave
City
State
Zip
56353-3894
Phone Number
612-251-8206
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300814 (Minnesota)
Definition
Definition to come...
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