person
Dr. Mark Douglas Larson, DMIN,LPC
Professional Counselor in Charlotte, North Carolina
NPI 1376553503

Mark Douglas Larson is a Professional Counselor based in Charlotte, NC and is specialized in Professional. Mark Douglas Larson practices in Charlotte, NC and has the professional credentials of DMIN,LPC. The NPI Number for Mark Douglas Larson is 1376553503 and holds a License No. 2189 (North Carolina).

The current practice location address for Mark Douglas Larson is 605 East Boulevard, Charlotte, NC and can be reached out via phone at 704-375-5354.

Location: 605 East Boulevard, Charlotte, NC, 28209-1401
person
Provider Profile Details
NPI Number
1376553503
Provider Name
Mark Douglas Larson
Credential
DMIN,LPC
Provider Entity Type
Individual
Gender
Male
Address
605 East Boulevard, Charlotte, NC, 28209-1401
Phone Number
704-375-5354
Fax Number
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
605 East Boulevard
City
State
Zip
28203-5111
Phone Number
704-375-5354
Fax Number
person
Provider Business Mailing Address Details
Address
605 East Boulevard
City
State
Zip
28203-5111
Phone Number
704-375-5354
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2189 (North Carolina)
Definition
Definition to come...
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