person
Laura Larsen
Counselor in Surprise, Arizona
NPI 1558408401

Laura Larsen is a Counselor based in Surprise, AZ. Laura Larsen practices in Surprise, AZ. The NPI Number for Laura Larsen is 1558408401 and holds a License No. 11958 (Arizona).

The current practice location address for Laura Larsen is 17503 W Pershing St, Surprise, AZ and can be reached out via phone at 623-537-5119.

Location: 17503 W Pershing St, Surprise, AZ, 85388-5021
person
Provider Profile Details
NPI Number
1558408401
Provider Name
Laura Larsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
17503 W Pershing St, Surprise, AZ, 85388-5021
Phone Number
623-537-5119
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171878 01 AZ AHCCS
11958 01 AZ PROF FOSTER PARENT
institution
Provider Business Practice Location Address Details
Address
17503 W Pershing St
City
State
Zip
85388-5021
Phone Number
623-537-5119
Fax Number
person
Provider Business Mailing Address Details
Address
17503 W Pershing St
City
State
Zip
85388-5021
Phone Number
623-537-5119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
11958 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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