person
Annette Marie Larson, MA,LPC,LADC
Mental Health Counselor in Coon Rapids, Minnesota
NPI 1174972715

Annette Marie Larson is a Mental Health Counselor based in Blaine, MN and is specialized in Mental Health. Annette Marie Larson practices in Coon Rapids, MN and has the professional credentials of MA,LPC,LADC. The NPI Number for Annette Marie Larson is 1174972715 and holds a License No. 303923 (Minnesota).

The current practice location address for Annette Marie Larson is 199 Coon Rapids Blvd Nw, Coon Rapids, MN and can be reached out via phone at 763-785-8111 and via fax at 763-785-8111. You can also correspond with Annette Marie Larson through the mailing address at 3328 92ND DR NE, BLAINE, MN - 55449-6851 (mailing address contact number: 763-444-1321).

Location: 199 Coon Rapids Blvd Nw, Coon Rapids, MN, 55449-6851
person
Provider Profile Details
NPI Number
1174972715
Provider Name
Annette Marie Larson
Credential
MA,LPC,LADC
Provider Entity Type
Individual
Gender
Female
Address
199 Coon Rapids Blvd Nw, Coon Rapids, MN, 55449-6851
Phone Number
763-785-8111
Fax Number
763-785-8111
Provider Enumeration Date
06/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01859 01 MN MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY,LICENSED PROFESSIONAL COUNSELOR
7078 01 MN MINNESOTA CERTIFICATION BOARD, ALCOHOL AND DRUG COUNSELOR-MINNESOTA
303923 01 MN MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY, ALCOHOL AND DRUG COUNSELOR
institution
Provider Business Practice Location Address Details
Address
199 Coon Rapids Blvd Nw
City
State
Zip
55433-5831
Phone Number
763-785-8111
Fax Number
763-785-8111
person
Provider Business Mailing Address Details
Address
3328 92Nd Dr Ne
City
State
Zip
55449-6851
Phone Number
763-444-1321
Fax Number
763-785-8111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01859 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
303923 (Minnesota)
Definition
Definition to come...
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